Individual
TRAVIS TAKAMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 597-1711
Mailing address
44-730 ALAKAI ST, KANEOHE, HI 96744-2411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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