Active NPI
Elexis Spence, BCABA, RBT
- Assistant Behavior Analyst
- Mililani, HI
National Provider Identifier
1003322389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-24-15184
- Practice address
- 100 Kahelu Ave Ste 112
Mililani, HI 96789-3913 - Phone
- (808) 625-3000
- NPI assigned
- Dec 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-15071 | HI | |
| Assistant Behavior Analyst | 106E00000X | 0-24-15184 | HI | Primary |
Addresses
Primary practice location
100 Kahelu Ave Ste 112
Mililani, HI 96789-3913
Mailing address
100 Kahelu Ave Ste 112
Mililani, HI 96789-3913
Phone (808) 625-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-15071 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1003322389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KAHELU AVE STE 112",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893913",
"telephone_number": "808-625-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KAHELU AVE STE 112",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893913",
"telephone_number": "808-625-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "ELEXIS",
"credential": "BCABA, RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-16-15071",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "HI",
"license": "0-24-15184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.