Organization Active NPI

Behavior Service of Hawaii, LLC

  • Speech-Language Pathologist
  • Mililani, HI
National Provider Identifier
1154650737
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 1016 Issued in HI
Legal business name
BEHAVIOR SERVICE OF HAWAII, LLC
Practice address
95-732 Maiaku St
Mililani, HI 96789-2816
Phone
(808) 778-6715
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Brianna Marie Tatekawa, SLP, BCBA
Title
Owner
Phone
(808) 778-6715

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1084054 HI
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP 1016 HI Primary

Addresses

Primary practice location

95-732 Maiaku St
Mililani, HI 96789-2816

Mailing address

95-732 Maiaku St
Mililani, HI 96789-2816
Phone (808) 778-6715

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1154650737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-732 MAIAKU ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892816",
            "telephone_number": "808-778-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-732 MAIAKU ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892816",
            "telephone_number": "808-778-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SERVICE OF HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "TATEKAWA",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-778-6715",
        "authorized_official_credential": "SLP, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1084054",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP 1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.