Individual
MATTHEW G DERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1151 ULUOPIHI LOOP, KAILUA, HI 96734-4361
(808) 218-2034
Mailing address
1151 ULUOPIHI LOOP, KAILUA, HI 96734-4361
(808) 218-2034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-25483
HI
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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