Kelton Hiroshi Arakaki, PARAPROFESSIONAL
Individual provider Active NPI Behavior Analyst · Hilo, HI
NPI 1154734614 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1154734614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 103K00000X (HI)
- Practice address
- 234 Waianuenue Avenue Suite 215
Hilo, HI 96720 - Phone
- (808) 640-8455
- NPI assigned
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103K00000X | HI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 103K00000X | HI | Yes |
Addresses
Primary practice location
234 Waianuenue Avenue Suite 215
Hilo, HI 96720
Mailing address
234 Waianuenue Ave Ste 215
Hilo, HI 96720-2418
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. 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.