Individual
ROSS ANTHONY WAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SKILLS TRAINER/RBT
Contact information
Practice address
65-1279 KAWAIHAE RD STE 201, KAMUELA, HI 96743-8444
(808) 887-0747
Mailing address
PO BOX 190695, HAWI, HI 96719-0695
(808) 365-6645
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-42334
HI
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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