Individual
JASON JULIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.S.,BCBA, LBA
Contact information
Practice address
200 N VINEYARD BLVD, HONOLULU, HI 96817-3950
(860) 302-3697
Mailing address
200 N VINEYARD BLVD APT A325, HONOLULU, HI 96817-3950
(860) 302-3697
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA556
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002206
—
HI
Enumeration date
10/05/2017
Last updated
07/17/2024
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