Active NPI
Tateana Brannon
- Behavior Analyst
- Kapolei, HI
National Provider Identifier
1184101750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA608
- Practice address
- 1001 Kamokila Blvd Ste 210
Kapolei, HI 96707-2096 - Phone
- (808) 591-6060
- NPI assigned
- Jul 25, 2018
- Last updated
- May 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | BA608 | HI | Primary |
Addresses
Primary practice location
1001 Kamokila Blvd Ste 210
Kapolei, HI 96707-2096
Mailing address
95-708 Makaiolani St
Mililani, HI 96789-2940
Phone (808) 220-4300
Other practice location 1
95-708 Makaiolani St
Mililani, HI 96789-2940
Phone (808) 220-4300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA608 | HI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1245731173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1184101750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-708 MAKAIOLANI ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892940",
"telephone_number": "808-220-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD STE 210",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072096",
"telephone_number": "808-591-6060"
}
],
"practiceLocations": [
{
"address_1": "95-708 Makaiolani St",
"address_purpose": "LOCATION",
"city": "Mililani",
"state": "HI",
"postal_code": "967892940",
"country_code": "US",
"telephone_number": "808-220-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANNON",
"first_name": "TATEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.