Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
N | 103K00000X | Behavior Analyst | 1-20-45356 | |
Y | 103K00000X | Behavior Analyst | 1-20-45356 | HI |
N | 106E00000X | Assistant Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst | 0-19-10060 | HI |
N | 106S00000X | Behavior Technician | RBT-18-71873 | HI |
NPI | 1104372994 |
---|---|
Provider Name | Dwaine Marfori |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Honolulu, HI 96814-4130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2016 |
Last Update Date | 19/10/2020 |