Individual
ISRAEL CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 AARONA PL, STE 208, KAILUA, HI 96734-2546
(808) 263-5521
Mailing address
2 AARONA PL, STE 208, KAILUA, HI 96734-2546
(808) 263-5521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-27863
HI
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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