Individual
MR. SHANE YK GOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 ALA MOANA BLVD STE 7-400, HONOLULU, HI 96813-4902
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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