Most Relevant Information
Provider Data
| NPI Number: | 1003656653 |
| Provider Name: | SIRINYA YOTHAWONG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-348393 |
Most Important Dates
| Enumeration Date: | 05/30/2024 |
| Last Updated: | 05/30/2024 |
Provider Practice Location
1001 KAMOKILA BLVD STE 210
KAPOLEI
HI
967072096
Practice Location Phone/Fax
| Phone: | 8085916060 |
| Fax: |
Provider Mailing Location
99-039 LOHEA PL APT B
AIEA
HI
967015409
Provider Mailing Phone/Fax
| Phone: | 8082811432 |
| Fax: |