Individual
JAKEYAH BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALA MOANA BLVD STE 7-400, HONOLULU, HI 96813-4902
(855) 832-6727
Mailing address
95-528 WIKAO ST APT C105, MILILANI, HI 96789-7030
(917) 951-6336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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