Individual provider Active NPI

Melissa Kramer Yoshimoto, MED, BCBA, LBA

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1003691908
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-164 Issued in HI
Practice address
2826 Manoa Rd
Honolulu, HI 96822-1751
Phone
(808) 351-9826
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-164 HI Primary

Addresses

Primary practice location

2826 Manoa Rd
Honolulu, HI 96822-1751

Mailing address

2826 Manoa Rd
Honolulu, HI 96822-1751
Phone (808) 351-9826

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BA-164HIMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1003691908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 MANOA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221751",
            "telephone_number": "808-351-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 MANOA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221751",
            "telephone_number": "808-351-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIMOTO",
        "first_name": "MELISSA",
        "middle_name": "KRAMER",
        "credential": "MED, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.