Shane Grace Deloso

NPI #1992499115 in Aiea, Hawaii

Provider Information

NPI Number: 1992499115
Entity Type: Individual
Name: Shane Grace Deloso
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 8, 2023
Last Updated: Jun 8, 2023

Practice Location

Address: 98-939 MOANALUA RD
City: Aiea
State: Hawaii
ZIP Code: 96701-5012
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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