Individual
JAMAY PATRICIA DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, RBT
Contact information
Practice address
91-1159 KAMAKANA ST, EWA BEACH, HI 96706-2022
(808) 799-6795
Mailing address
6826 MCGOWAN PL, WAHIAWA, HI 96786-5601
(915) 268-6913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1126856
HI
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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