Shana Kristine Ikeda Valenzuela, BACB 1-21-49139

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA533 Issued in HI

Practice address

825 Manzelman Cir
Honolulu, HI 96818-4733

Phone

(808) 307-4630

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1184347411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 ALA PILI PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968181624",
            "telephone_number": "808-216-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MANZELMAN CIR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184733",
            "telephone_number": "808-307-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "SHANA",
        "middle_name": "KRISTINE IKEDA",
        "credential": "BACB 1-21-49139",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "10082487@k12.hi.us",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hawaii DOE",
            "address_1": "825 Manzelman Cir",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968184733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bennett Zakaria Valencia, LCSW, BCBA
• Douglas Valenta, MD
• Mona Liza Valentin, PHARMD
• Christie Puluelo Valentine
• Kimberly L. Valentine, MD
• Valerie Verano Valeriano
• Valerie M Wang MD Inc
• Kaleia Marie Valin, RD
• Myrna Saddam Valin, MD
• Value Drug LTD (Pharmacare)

• Behavior Analyst in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.