Bethany M Ancheta
Individual provider Active NPI Behavior Analyst · Lihue, HI
NPI 1295494367 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1295494367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1895 Haleukana St
Lihue, HI 96766-9072 - Phone
- (808) 346-6690
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pakolea Support Services | Behavior Analyst | Current |
Accepting new patients |
Locations
1895 Haleukana St
Lihue, HI 96766
Phone (808) 346-6690
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1895 Haleukana St
Lihue, HI 96766-9072
Mailing address
1895 Haleukana St
Lihue, HI 96766-9072
Phone (808) 346-6690
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. 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.