Individual
MR. MANUEL F PAGARAGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 585-1424
Mailing address
2516 ROSE ST APT A, HONOLULU, HI 96819-5606
(808) 256-4162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-158597
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-158597
BACB
HI
Enumeration date
12/02/2022
Last updated
12/02/2022
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