Active NPI
Maile Nicole Sueko Kimura, LMFT, BCBA, LBA
- Behavior Analyst
- Mililani, HI
National Provider Identifier
1326475575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-46743
- Practice address
- 100 Kahelu Ave Ste 110
Mililani, HI 96789-3913 - Phone
- (808) 625-3000
- Fax
- (808) 625-3006
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Behavior Analyst | 103K00000X | 1-20-46743 | HI | Primary |
Addresses
Primary practice location
100 Kahelu Ave Ste 110
Mililani, HI 96789-3913
Mailing address
100 Kahelu Ave Ste 110
Mililani, HI 96789-3913
Phone (808) 625-3000
Other practice location 1
4285 N. Rancho Drive Ste. 160
Las Vegas, NV 89130
Phone (702) 835-1915
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mai Therapist, LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1326475575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KAHELU AVE STE 110",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893913",
"telephone_number": "808-625-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KAHELU AVE STE 110",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893913",
"telephone_number": "808-625-3000",
"fax_number": "808-625-3006"
}
],
"practiceLocations": [
{
"address_1": "4285 N. Rancho Drive Ste. 160",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89130",
"country_code": "US",
"telephone_number": "702-835-1915",
"fax_number": "702-586-9630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMURA",
"first_name": "MAILE",
"middle_name": "NICOLE SUEKO",
"credential": "LMFT, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2021-03-22",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "1-20-46743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.