Individual
BLAKE TYLER RIVERA CARAANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 SOUTH ST, HONOLULU, HI 96813-5013
(808) 591-1173
(808) 591-1174
Mailing address
828 AUAHI ST UNIT 2509, HONOLULU, HI 96813-5384
(858) 413-4972
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-532868
HI
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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