Juan Wahl Banis Villanueva

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

92-099 Leipapa Way
Kapolei, HI 96707-1343

Phone

(808) 725-9275

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1083202238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892718",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967898332",
            "telephone_number": "808-725-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-099 LEIPAPA WAY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071343",
            "telephone_number": "808-725-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JUAN WAHL",
        "middle_name": "BANIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Marie Vicens
• Napualani M Vidinha Arruda, RBT
• Paul Andrew Viernes
• Luis A Vigil
• Carlos Neil Villanueva
• Manissara Vorabutr
• Tammie Vos, PT
• Susan Aiko Wada
• Waianae District Comprehensive Health and Hospital Board, Incorporated (Kapolei Health Care Center)
• Waianae District Comprehensive Health and Hospital Board, Incorporated (Kapolei Professional Pharmacy)

• Behavior Technician in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.