Individual
MATTHEW CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 6TH AVE, HONOLULU, HI 96816-2144
(808) 383-6668
Mailing address
626 6TH AVE, HONOLULU, HI 96816-2144
(808) 383-6668
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-89905
HI
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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