Individual
TAYLOR LA TINAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
95-594 WAILOA LOOP, MILILANI, HI 96789-1407
(808) 421-9716
Mailing address
1003 BISHOP ST, HONOLULU, HI 96813-6400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XLQ0002169726
HMSA
HI
Enumeration date
10/25/2023
Last updated
10/30/2023
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