Individual
BENJAMIN DENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
1107 ACACIA RD APT 117, PEARL CITY, HI 96782-2581
(808) 859-0693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-76249
HI
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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