Maribel Acidera Mendoza

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1050 Queen St Ste 100
Honolulu, HI 96814-4130

Phone

(808) 451-2220

NPI assigned

Dec 9, 2019

Last updated

Dec 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1033756143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-283 KAHUANANI STREET B",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973528",
            "telephone_number": "808-364-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130",
            "telephone_number": "808-451-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARIBEL",
        "middle_name": "ACIDERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000287473",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Nalani Mendiola
• Bradley Mendoza, OD
• Jacqueline Mendoza
• Jaime Sanchez Mendoza, LCSW, DCSW, CSAC
• Maegan Mercy Mendoza, PA-C
• Mark Mendoza
• Michael Vaughn Florentino Mendoza, MD
• Wendy Mendoza, RN
• Marie Bernadette Ramos Mendrun, APRN,FNP-C
• Arielle Jovan Menendez

• Behavior Analyst in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.