Jordan S Conley
Individual provider Active NPI Behavior Technician · Waimanalo, HI
NPI 1083249031 · NPPES record last updated Mar 10, 2020
Key facts
- NPI
- 1083249031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 41-611 Inoaole St
Waimanalo, HI 96795-1211 - Phone
- (808) 492-2213
- NPI assigned
- Mar 10, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
41-611 Inoaole St
Waimanalo, HI 96795-1211
Mailing address
2752 Kahoaloha LN Apt 307
Honolulu, HI 96826-3319
Phone (808) 492-2213
Other providers in Waimanalo, HI
- Brandi Kay Bussell
- Taylor Carvalho
- Alexandrine Rebekah Ceballos
- Justin Chang
- Hayley Cheyneykane
- Jennifer Conway
- Aimee Joy Abrazaldo Cueva
- Kaipo Kaleokuikealoaloha Dudoit
- Lauren C Evans
- Bailey Jane Ferguson
All providers in Waimanalo, HI · Behavior Technician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.