Active NPI
Rose Advincula
- Behavior Technician
- Honolulu, HI
National Provider Identifier
1235868068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4510 Salt Lake Blvd Ste D8
Honolulu, HI 96818-3172 - Phone
- (808) 244-6879
- NPI assigned
- Jun 7, 2022
- Last updated
- Jun 7, 2022
- 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 Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
4510 Salt Lake Blvd Ste D8
Honolulu, HI 96818-3172
Mailing address
94-011 Waipahu St Apt D213
Waipahu, HI 96797-1722
Phone (808) 726-9224
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1235868068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-011 WAIPAHU ST APT D213",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971722",
"telephone_number": "808-726-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 SALT LAKE BLVD STE D8",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968183172",
"telephone_number": "808-244-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADVINCULA",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Advanced Prosthetics and Orthotics of the Pacific (Advance Prosthetics and Orthotics of the Pacific)
- Advanced Psychiatric Therapeutics
- Advanced Reproductive Medicine and Gynecology of Hawaii, Inc. (Fertility Institute of Hawaii)
- Advanced Therapy LLC
- Advantage Psychological Center, Inc.
- Tod C Aeby, MD
- Aed Institute of America, Inc.
- Aether LLC
- Alexis Afalava
- Afshin K Afarin, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.