Individual
EZRALEI BAUTISTA EUGENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 QUEEN ST STE 100, HONOLULU, HI 96814-4130
(808) 451-2220
(818) 208-4540
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
HI
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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