Individual
JAYLENE MENDOZA MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 RAILROAD AVE, HILO, HI 96720-7509
(808) 935-7949
Mailing address
69 RAILROAD AVE, HILO, HI 96720-7509
(808) 935-7949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
HI
Other
Enumeration date
05/23/2018
Last updated
07/08/2024
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