Jeanette Frisch, RBT
Individual provider Active NPI Behavior Technician · Paia, HI
NPI 1124853189 · NPPES record last updated Sep 7, 2024
Key facts
- NPI
- 1124853189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2365 Waipua St
Paia, HI 96779-9752 - Phone
- (480) 218-1473
- NPI assigned
- Sep 7, 2024
- Sex
- Female
- 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 | HI | Yes |
Addresses
Primary practice location
2365 Waipua St
Paia, HI 96779-9752
Mailing address
2365 Waipua St
Paia, HI 96779-9752
Phone (480) 218-1473
Other providers in Paia, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2024. 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.