Dwaine Marfori, BA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45356 Issued in HI

Practice address

1050 Queen St Ste 100
Honolulu, HI 96814-4130

Phone

(808) 451-2220

NPI assigned

Aug 31, 2016

Reactivated

Jan 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Junior Boom ABA LLC

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1861194490
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1104372994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130",
            "telephone_number": "808-451-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Ward Avenue, Suite 219B",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144003",
            "country_code": "US",
            "telephone_number": "808-585-1424",
            "fax_number": "808-380-3943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Uluniu St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "96734",
            "country_code": "US",
            "telephone_number": "808-489-3548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Uluniu St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "96734",
            "country_code": "US",
            "telephone_number": "808-489-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARFORI",
        "first_name": "DWAINE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "deactivation_date": "2018-12-11",
        "reactivation_date": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-45356",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "HI",
            "license": "0-19-10060",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-20-45356",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-18-71873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Rizzo MD Inc
• Alysha Anna Maria Marcucci
• Marcy Kawasaki, DDS
• Maresca Physical Therapy LLC
• Michael K Maresca, PT
• Margaret K.L. Cheung, MD., PH.D., Inc.
• Mari a. Shiraishi, M.D., Inc.
• Maria Patten D.O., Inc.
• Maria Petkus PHD, LLC
• Maria Theresa F. Villa, M.D. LLC

• Behavior Analyst in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.