Individual
MR. OLIVER WILLIAM COLOMA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
660 KIPUKA DR, WAHIAWA, HI 96786-2910
(808) 221-4901
Mailing address
660 KIPUKA DR, WAHIAWA, HI 96786-2910
(808) 221-4901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/14/2022
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