Individual
RAYMOND KEONI BERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-1180 MIDWAY RD # A, KAPOLEI, HI 96707
(808) 682-5496
Mailing address
PO BOX 75296, KAPOLEI, HI 96707-0296
(808) 682-5496
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-270344
HI
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
04/24/2023
Last updated
03/09/2024
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