Cassandra Balmoja

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-182041 Issued in HI

Practice address

553 Wainee St
Lahaina, HI 96761-1109

Phone

(808) 446-4561

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• ABA Classroom

  • Behavior Analyst
  • Lahaina, HI
  • NPI 1316524101

  Behavior Technician

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2021.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1275200230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WAIAKA LN APT 201",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932000",
            "telephone_number": "808-365-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 WAINEE ST",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611109",
            "telephone_number": "808-446-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMOJA",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-21-182041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Rosales Arvizu
• Ben Kamarudin Azman, M.D.
• Dain Sharif Azman, D.C.
• Mary Jane David Babashoff, MT
• Richelle Marie Balinbin, RBT
• Stephen Barba, DMD
• Betty Jane Bartleson, RN
• Lucas James Bauer
• Kamla Beaulieu, PT
• Hannah Christine Beers

• All providers in Lahaina, HI
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.