Individual provider Active NPI

Arielle Jovan Menendez

  • Behavior Technician
  • Honolulu, HI
National Provider Identifier
1053972356
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
106S00000X Issued in HI
Practice address
2226 Liliha St Ste 403
Honolulu, HI 96817-1605
Phone
(415) 989-5000
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 106S00000X HI Primary

Addresses

Primary practice location

2226 Liliha St Ste 403
Honolulu, HI 96817-1605

Mailing address

55-550 Naniloa Loop # 6062
Laie, HI 96762-1238
Phone (308) 087-8866

Other practice location 1

55-550 Naniloa Loop # 6062
Laie, HI 96762-1238
Phone (308) 087-8866

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

State licenses

LicenseStateTypeSpecialty
106S00000XHIMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1053972356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-550 NANILOA LOOP # 6062",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621238",
            "telephone_number": "308-087-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST STE 403",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171605",
            "telephone_number": "415-989-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55-550 Naniloa Loop # 6062",
            "address_purpose": "LOCATION",
            "city": "Laie",
            "state": "HI",
            "postal_code": "967621238",
            "country_code": "US",
            "telephone_number": "308-087-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "ARIELLE",
        "middle_name": "JOVAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "106S00000X",
            "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 Jun 26, 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.