Most Relevant Information
Provider Data
| NPI Number: | 1003462219 |
| Provider Name: | JODI YVONNE TRUJILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2019 |
| Last Updated: | 01/06/2020 |
Provider Practice Location
710 GREEN ST
HONOLULU
HI
968132119
Practice Location Phone/Fax
| Phone: | 8085361015 |
| Fax: |
Provider Mailing Location
923 LOLENA ST
HONOLULU
HI
968172142
Provider Mailing Phone/Fax
| Phone: | 9092773005 |
| Fax: |