Individual
ETIENNE MARSHALL THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
840 12TH AVE APT A, HONOLULU, HI 96816-6451
(714) 801-4038
Mailing address
840 12TH AVE APT A, HONOLULU, HI 96816-6451
(714) 801-4038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-332667
—
Other
Enumeration date
03/08/2024
Last updated
07/31/2024
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