Active NPI
Juan Luis Villaseca
- Behavior Analyst
- Kapaa, HI
National Provider Identifier
1023401221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 491 Kamalu Rd
Kapaa, HI 96746-8101 - Phone
- (206) 910-1085
- NPI assigned
- Mar 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | HI | Primary |
Addresses
Primary practice location
491 Kamalu Rd
Kapaa, HI 96746-8101
Mailing address
491 Kamalu Rd
Kapaa, HI 96746-8101
Phone (206) 910-1085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0987 | Other | HI | INDIVIDUAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1023401221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 KAMALU RD",
"city": "KAPAA",
"state": "HI",
"postal_code": "967468101",
"telephone_number": "206-910-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 KAMALU RD",
"city": "KAPAA",
"state": "HI",
"postal_code": "967468101",
"telephone_number": "206-910-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASECA",
"first_name": "JUAN",
"middle_name": "LUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL",
"identifier": "0987",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kapaa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.