Individual provider Active NPI

Lina M Rosa, MS ED, BCBA, LBA

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1194247650
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
478 Issued in HI
Practice address
420 Haleloa PL Apt E
Honolulu, HI 96821-2253
Phone
(347) 631-0646
NPI assigned
Jul 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 478 HI Primary

Addresses

Primary practice location

420 Haleloa PL Apt E
Honolulu, HI 96821-2253

Mailing address

420 Haleloa PL Apt E
Honolulu, HI 96821-2253
Phone (347) 631-0646

Other practice location 1

37 Ada Dr
Staten Island, NY 10314-1425
Phone (347) 631-4064

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
478HIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194247650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HALELOA PL APT E",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212253",
            "telephone_number": "347-631-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HALELOA PL APT E",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212253",
            "telephone_number": "347-631-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Ada Dr",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103141425",
            "country_code": "US",
            "telephone_number": "347-631-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "LINA",
        "middle_name": "M",
        "credential": "MS ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-16",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.