Individual
ALAN L VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2226 LILIHA ST, HONOLULU, HI 96817-1600
(808) 638-1882
Mailing address
91-1740 PAEKO ST, EWA BEACH, HI 96706-4826
(808) 219-6357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-103749
HI
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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