Active NPI
Princess Bohol
- Behavior Technician
- Kailua, HI
National Provider Identifier
1124867551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669 - Phone
- (808) 247-2973
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669
Mailing address
47-515 Hio PL
Kaneohe, HI 96744-4841
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1124867551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47-515 HIO PL",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967444841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 KALANIANAOLE HWY SPC 5001",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344669",
"telephone_number": "808-247-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHOL",
"first_name": "PRINCESS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.