Individual
MIYUKI PATRICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
810 HAIKU RD STE 244, HAIKU, HI 96708-4801
(808) 214-2326
Mailing address
810 HAIKU RD STE 244, HAIKU, HI 96708-4801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-76217
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-76217
N/A
HI
Enumeration date
01/30/2019
Last updated
01/30/2019
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