MEDICARE: JANARED AGARAN MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		HI

General Provider Information

NPI Number	:	1083486005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANARED AGARAN MS

Provider Business Mailing Address
First Line	:	1835 AKONE PL
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-2848
Country	:	US
Telephone Number	:	808-647-0472
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 AKONE PL
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-2848
Country	:	US
Telephone Number	:	808-647-0472
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2023
Last Update Date	:	10/24/2023

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