Individual
JONATHAN ADIL BALISACAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3135 KALIHI ST APT H, HONOLULU, HI 96819-3064
(808) 845-2505
Mailing address
3135 KALIHI ST APT H, HONOLULU, HI 96819-3064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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