Jada Auliilani McClellan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

203 Kapaa Quarry PL
#5002
Kailua, HI 96734

Phone

(808) 247-2973

Fax

(808) 427-3472

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1366014656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-392 NUI ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892618",
            "telephone_number": "808-354-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KAPAA QUARRY PL",
            "address_2": "#5002",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-247-2973",
            "fax_number": "808-427-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "JADA",
        "middle_name": "AULIILANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "808-354-4576",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "address_1": "203 Kapaa Quarry Pl",
            "address_2": "#5002",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Michael McCarthy, PT
• Caleb Michael McCarty
• Brooke A McClaverty-Shigaki
• Johanna McCroskey, FNP
• Shannon McDaniel, PT, DPT
• Erin Ramsey McDonough, MD
• David Harrington McDowell
• Jessica Bridges McFall, LPN

• Behavior Technician in Kailua, HI
• Providers in Kailua, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.