Angela Michelle Dudoit, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

20-139664 Issued in HI

Practice address

85-175 Farrington Hwy Apt B116
Waianae, HI 96792-2175

Phone

(808) 953-7205

NPI assigned

Dec 5, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Angela Michelle Dudoit Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1003412107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85-175 FARRINGTON HWY APT B116",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922175",
            "telephone_number": "808-953-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-175 FARRINGTON HWY APT B116",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922175",
            "telephone_number": "808-953-7205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2226 Liliha St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968171605",
            "country_code": "US",
            "telephone_number": "888-657-4456",
            "fax_number": "415-989-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDOIT",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "20-139664",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "20-139664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://gmail",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "85-175 Farrington Hwy Apt B116",
            "city": "Waianae",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967922175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DUDOIT",
            "middle_name": "MICHELLE",
            "credential": "RBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Behavior Technician in Waianae, HI
• Providers in Waianae, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.