Individual
JAY DOUGLAS YAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
234 WAIANUENUE AVE, HILO, HI 96720-2418
(808) 935-7949
Mailing address
69 WAIANUENUE AVE, HILO, HI 96720-2433
(970) 708-8018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
101YP2500X
HI
103K00000X
Behavior Analyst
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—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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