NPIMap

Organization Active NPI

Maui Behavioral Therapy, LLC

  • Behavior Analyst
  • Haiku, HI
National Provider Identifier
1043084569
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAUI BEHAVIORAL THERAPY, LLC
Practice address
1081 Kokomo Rd
Haiku, HI 96708-5006
Phone
(631) 664-8362
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Mr. Alex Samson, MPH, MS, BCBA, LBA
Title
Owner/ Behavior Analyst
Phone
(631) 664-8362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1081 Kokomo Rd
Haiku, HI 96708-5006

Mailing address

1081 Kokomo Rd
Haiku, HI 96708-5006
Phone (631) 664-8362

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1043084569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 KOKOMO RD",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085006",
            "telephone_number": "631-664-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 KOKOMO RD",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085006",
            "telephone_number": "631-664-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER/ BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "631-664-8362",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH, MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haiku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.