Individual provider Active NPI

Joseph Leon Quentin Sr., BS

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1245630300
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
210 Ward Ave Ste 219B
Honolulu, HI 96814-4003
Phone
(808) 380-4465
Fax
(808) 380-3943
NPI assigned
Aug 26, 2014
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 NU Primary

Addresses

Primary practice location

210 Ward Ave Ste 219B
Honolulu, HI 96814-4003

Mailing address

210 Ward Ave Ste 219B
Honolulu, HI 96814-4003
Phone (808) 380-4465

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
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1245630300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WARD AVE STE 219B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144003",
            "telephone_number": "808-380-4465",
            "fax_number": "808-380-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WARD AVE STE 219B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144003",
            "telephone_number": "808-380-4465",
            "fax_number": "808-380-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENTIN",
        "first_name": "JOSEPH",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "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 Aug 26, 2014; 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.