Kimberly Baloran
Individual provider Active NPI Behavior Technician · Aiea, HI
NPI 1003343716 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1003343716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-17-33746 (HI)
- Practice address
- 99-870 Iwaena St # 101
Aiea, HI 96701-3278 - Phone
- (808) 277-7736
- NPI assigned
- May 12, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-33746 | HI | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-33746 | HI | Yes |
Addresses
Primary practice location
99-870 Iwaena St # 101
Aiea, HI 96701-3278
Mailing address
99-870 Iwaena St # 101
Aiea, HI 96701-3278
Phone (808) 277-7736
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.