Individual
JARREN BRYLE MARCOS GALIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
91-249 HANAPOULI CIR APT 20G, EWA BEACH, HI 96706-9670
(808) 391-2112
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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