Lucas James Bauer
Individual provider Active NPI Behavior Technician · Lahaina, HI
NPI 1366064693 · NPPES record last updated May 8, 2020
Key facts
- NPI
- 1366064693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-20-117338 (HI)
- Practice address
- 553 Wainee St
Lahaina, HI 96761-1109 - Phone
- (808) 667-0422
- NPI assigned
- May 8, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-117338 | HI | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-117338 | HI | Yes |
Addresses
Primary practice location
553 Wainee St
Lahaina, HI 96761-1109
Mailing address
PO Box 12704
Lahaina, HI 96761-7704
Phone (360) 556-3542
Other providers in Lahaina, HI
- Mary Jane David Babashoff
- Richelle Marie Balinbin
- Cassandra Balmoja
- Stephen Barba
- Betty Jane Bartleson
- Kamla Beaulieu
- Hannah Christine Beers
- Michelle Ann Befi
- Ben K. Azman M.D. Inc.
- Anna Bennett
All providers in Lahaina, HI · Behavior Technician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2020. 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.