Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEDRIC AGENA, RBT
ActiveBehavior Technician · HONOLULU, HI
Registration Details
- NPI Number
- 1972167708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2019 (7.036345084554 yrs)
- Last Updated
- Apr 26, 2019
Practice Information
- Address
-
4510 SALT LAKE BLVD STE D8HONOLULU, HI, 968183172Browse HI providers · Browse ZIP 96818
- Phone
- 8084861804
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in HONOLULU, HI
| Name | Credential | NPI |
|---|---|---|
| SHENANDOAH JOY POUNPANYA | LMT | 1447422597 |
| TUSITALA SAKAIO | — | 1356592166 |
| CHARLENE DICHOSO DOMINGO-YAMAMOTO | L.AC., M.AC.O.M. | 1497909154 |
| MR. JOHN TAKAMI MORITA | — | 1134367865 |
| ASHLEY MONDEN | — | 1356576466 |
| EMAN'ON FEARLESS WANDERER | — | 1740584218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.