Individual
BENJAMMIN TOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74-5620 PALANI RD, KAILUA KONA, HI 96740-3640
(808) 331-2273
Mailing address
89-754 LANI KONA RD, CAPTAIN COOK, HI 96704-8912
(808) 769-2568
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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