Individual
JAS RICK DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
915 FACTORY ST APT A, HONOLULU, HI 96819-4729
(808) 492-2777
Mailing address
915 FACTORY ST APT A, HONOLULU, HI 96819-4729
(808) 492-2777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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