Individual
JEREMY KEALOHA TANIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1737 MAKIKI ST APT F, HONOLULU, HI 96822-4460
(808) 227-5489
Mailing address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-131625
HI
106S00000X
Behavior Technician
—
HI
Other
Enumeration date
07/07/2021
Last updated
11/22/2022
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