Active NPI
Behavior Service of Hawaii, LLC
- Speech-Language Pathologist
- Mililani, HI
National Provider Identifier
1154650737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 1016
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1084054 | HI | |
| Speech-Language Pathologist | 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 DirectoryNPI 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.