Joseph Martin Bacay Datu

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB981803 Issued in HI

Practice address

91-1159 Kamakana St Apt 120
Ewa Beach, HI 96706-2023

Phone

(808) 721-8386

NPI assigned

Sep 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Venture ABA Hawaii LLC

  • Behavior Analyst
  • Ewa Beach, HI
  • NPI 1457069049
  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1144007147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 HAWAII KAI DR APT 1911",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968254209",
            "telephone_number": "808-724-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1159 KAMAKANA ST APT 120",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062023",
            "telephone_number": "808-721-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATU",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN BACAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "BACB981803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Baldonado Dahilig, RN
• Elaine Daly-Rath, MS COUNSELING PSYCH
• Stacy Daly
• Jackieflor B Dapon
• Samantha Olipares Datoc
• David Cha, MD
• Kendall Leann Davis, LPC, MFT
• DBT Financial and Capital Group LLC
• Roui Lorenzo Canicula De Castro, M.D.
• Aki Watanabe De Leon, NP-C

• Behavior Technician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.