Active NPI
Ronald Jesse Keahi Fukushima
- Behavior Analyst
- Wailuku, HI
National Provider Identifier
1295130284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 270 Waiehu Beach Rd
Suite 110a
Wailuku, HI 96793-1472 - Phone
- (808) 242-7294
- Fax
- (808) 242-7296
- NPI assigned
- Nov 3, 2014
- Last updated
- Nov 3, 2014
- Sex
- Male
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
270 Waiehu Beach Rd
Suite 110a
Wailuku, HI 96793-1472
Mailing address
30 Lepelepe PL
Kula, HI 96790-7608
Phone (808) 214-7408
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": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1295130284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LEPELEPE PL",
"city": "KULA",
"state": "HI",
"postal_code": "967907608",
"telephone_number": "808-214-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 WAIEHU BEACH RD",
"address_2": "SUITE 110A",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931472",
"telephone_number": "808-242-7294",
"fax_number": "808-242-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUKUSHIMA",
"first_name": "RONALD",
"middle_name": "JESSE KEAHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-03",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.