Vitality ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

VITALITY ABA LLC

Practice address

60 N Beretania St Apt 1406
Honolulu, HI 96817-4757

Phone

(801) 810-8346

NPI assigned

Mar 20, 2023

Last updated

Jan 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Lynn Boehmert

Title

Bcba

Phone

(801) 810-8346

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Lynn Willis

  • Behavior Analyst
  • Honolulu, HI
  • NPI 1801413190
  NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1265134563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA ST APT 1406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174757",
            "telephone_number": "801-810-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA ST APT 1406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174757",
            "telephone_number": "801-810-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "BOEHMERT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "801-810-8346"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 30, 2025; 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.