Matafolau Kimoana Hafoka
Individual provider Active NPI Behavior Technician · Lahaina, HI
NPI 1275412348 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1275412348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 40 Kupuohi St
Lahaina, HI 96761-2701 - Phone
- (808) 446-4561
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
40 Kupuohi St
Lahaina, HI 96761-2701
Mailing address
126 Halelo St
Lahaina, HI 96761-1904
NPI Registry JSON
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1275412348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 HALELO ST",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967611904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 KUPUOHI ST",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967612701",
"telephone_number": "808-446-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFOKA",
"first_name": "MATAFOLAU",
"middle_name": "KIMOANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lahaina, HI
- Gina Gillstrom
- Rachel Alexandra Graham
- Kalia Guiteras
- Lindsey Elizabeth Kauimalula Guth
- Kekuulani Irene Haake
- Jeanne Anne Hardie
- Kelly C Harnick
- Joshua Harris
- Amber Rose Hawkins
- Justin Hays
All providers in Lahaina, HI · Behavior Technician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.