Brock Watanuki

NPI 1033673397 · on the registry since 2019

Practice

Address: 94-1221 Ka Uka Blvd Ste 108
Waipahu, HI 96797
Phone: (808) 292-7969
Organisation at this address: Ho'Oko Llc
Ps Elevate Llc
Grace Works Llc
Life Counseling Inc
Jaclyn Palola, Dmd Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 77

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii