| Island Behavioral Health Llc | |
|
92-1224 Olani St Apt 3 Kapolei HI 96707 | |
| (808) 628-0348 | |
| Not Available |
| Full Name | Island Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 92-1224 Olani St Apt 3, Kapolei, Hawaii |
| Authorized Official Name and Position | Shawna Ueyama (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8086280348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Behavioral Health Llc 590 Farrington Hwy Unit 524 Kapolei HI 96707-2034 Ph: (808) 800-1195 | Island Behavioral Health Llc 92-1224 Olani St Apt 3 Kapolei HI 96707 Ph: (808) 628-0348 |
| NPI Number | 1609370196 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609370196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 211 (Hawaii) | Primary |
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