Active NPI
Marichelle Mariano Barclay
- Behavior Technician
- Mililani, HI
National Provider Identifier
1063168755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-204624
- Practice address
- 95-134 Kapawa PL
Mililani, HI 96789-1419 - Phone
- (808) 208-6960
- NPI assigned
- Feb 22, 2022
- Last updated
- Oct 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT-22-204624 | HI | Primary |
Addresses
Primary practice location
95-134 Kapawa PL
Mililani, HI 96789-1419
Mailing address
94-972 Awaiki St
Waipahu, HI 96797-3215
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-204624 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1063168755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-972 AWAIKI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-134 KAPAWA PL",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891419",
"telephone_number": "808-208-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCLAY",
"first_name": "MARICHELLE",
"middle_name": "MARIANO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-22-204624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.