Individual
TAYLER AUBREY MITCHELL GORGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
564 SOUTH ST, HONOLULU, HI 96813-5013
(808) 591-1173
Mailing address
564 SOUTH ST, HONOLULU, HI 96813-5013
(808) 591-1173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79638
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/02/2018
Last updated
03/04/2025
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