Individual
BLAKE HONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
879B MANONO ST., HILO, HI 96720
(808) 937-6656
Mailing address
64-5268 NUUANU ST, KAMUELA, HI 96743-8207
(808) 937-6656
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
05/23/2023
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