| Imi Ola Autism Center | |
|
590 Farrington Hwy #524-225 Kapolei HI 96707-2009 | |
| (808) 979-1824 | |
| Not Available |
| Full Name | Imi Ola Autism Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 590 Farrington Hwy, Kapolei, Hawaii |
| Authorized Official Name and Position | Taryn K Awana-scanlan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8089791824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imi Ola Autism Center 590 Farrington Hwy #524-225 Kapolei HI 96707-2009 Ph: () - | Imi Ola Autism Center 590 Farrington Hwy #524-225 Kapolei HI 96707-2009 Ph: (808) 979-1824 |
| NPI Number | 1740633114 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740633114 | NPI | - | NPPES |
| BA-78 | Other | HI | STATE OF HAWAII |
| 1-14-17089 | Other | HI | BEHAVIOR ANALYST CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BA-78 (Hawaii) | Primary |
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