Individual provider Active NPI

Issobelle Nicole Barangan Calambacan, RBT

  • Behavior Technician
  • Ewa Beach, HI
National Provider Identifier
1093470932
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB691568 Issued in HI
Practice address
91-740 Papipi Rd
Ewa Beach, HI 96706-2436
Phone
(808) 307-2300
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X 691568 HI
Behavior Technician 106S00000X BACB691568 HI Primary

Addresses

Primary practice location

91-740 Papipi Rd
Ewa Beach, HI 96706-2436

Mailing address

91-1024 Komoaina St
Ewa Beach, HI 96706-5906
Phone (808) 421-9654

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
691568HIMDBehavior Technician
BACB691568HIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1093470932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1024 KOMOAINA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065906",
            "telephone_number": "808-421-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-740 PAPIPI RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062436",
            "telephone_number": "808-307-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAMBACAN",
        "first_name": "ISSOBELLE NICOLE",
        "middle_name": "BARANGAN",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "691568",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "BACB691568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

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