Individual
LAWRENCE JIN TATEKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 294-7752
Mailing address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 294-7752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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