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Individual

SEAN JOSHUA MEDRANO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 944-2882
Mailing address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 486-1804

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-281526
HI
106S00000X
Behavior Technician
Primary
HI
106S00000X
Behavior Technician

Other

Enumeration date
05/16/2023
Last updated
08/20/2025
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