Individual provider Active NPI

Michelle Kuuipo Kalua Graham, BCBA

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1346805751
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-493 Issued in HI
Practice address
944 Lawelawe St
Honolulu, HI 96821-1770
Phone
(808) 681-2178
Fax
(855) 975-2866
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-493 HI Primary

Addresses

Primary practice location

944 Lawelawe St
Honolulu, HI 96821-1770

Mailing address

944 Lawelawe St
Honolulu, HI 96821-1770
Phone (808) 681-2178

Other practice location 1

806 N West St
Chewelah, WA 99109-9188
Phone (509) 996-5980

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

State licenses

LicenseStateTypeSpecialty
BA-493HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Rule ABA, LLC Behavior Analyst CurrentSince Mar 1, 2021 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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1346805751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 LAWELAWE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211770",
            "telephone_number": "808-681-2178",
            "fax_number": "855-975-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 LAWELAWE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211770",
            "telephone_number": "808-681-2178",
            "fax_number": "855-975-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 N West St",
            "address_purpose": "LOCATION",
            "city": "Chewelah",
            "state": "WA",
            "postal_code": "991099188",
            "country_code": "US",
            "telephone_number": "509-996-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHELLE",
        "middle_name": "KUUIPO KALUA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2022-10-24",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.