Individual
JUSTIN DELMAR BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
Mailing address
6358 IBIS AVE, EWA BEACH, HI 96706-3332
(206) 498-8564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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