Joseph Martin Bacay Datu Valid NPI
Individual provider · Behavior Technician · Ewa Beach, HI
- NPI
- 1144007147
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- BACB981803 (HI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
Practice location
91-1159 Kamakana St Apt 120
Ewa Beach, HI 96706-2023
(808) 721-8386