Maya Ball, RBT
Individual provider Active NPI Behavior Technician · Lihue, HI
NPI 1013611375 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1013611375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 23262666 (HI)
- Practice address
- 1895 Haleukana St
Lihue, HI 96766-9072 - Phone
- (808) 346-6690
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 23262666 | HI | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pakolea Support Services | Current |
Accepting new patients | |
| Pakolea Support Services | Current |
Accepting new patients |
Locations
1895 Haleukana St
Lihue, HI 96766
Phone (808) 346-6690
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23262666 | HI | Yes |
Addresses
Primary practice location
1895 Haleukana St
Lihue, HI 96766-9072
Mailing address
4151 Momi St
Kilauea, HI 96754-5312
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-262666 | Other | HI | BACB |
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. 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.