Individual
BRYSON KAEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 GULICK AVE, HONOLULU, HI 96819-4116
(808) 832-3210
Mailing address
1240 GULICK AVE, HONOLULU, HI 96819-4116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-166853
HI
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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