Andrea Lee Birmingham, LSW

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

795 Onehee Ave
Kahului, HI 96732-1757

Phone

(808) 727-4283

NPI assigned

Jul 30, 2014

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Lee Staskiewicz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376951608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 ONEHEE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321757",
            "telephone_number": "808-727-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 ONEHEE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321757",
            "telephone_number": "808-727-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Ward Ave",
            "address_2": "SUITE 219B",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144008",
            "country_code": "US",
            "telephone_number": "808-380-4291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Puunene School",
            "address_2": "E. Camp 5 Road",
            "address_purpose": "LOCATION",
            "city": "Puunene",
            "state": "HI",
            "postal_code": "96784",
            "country_code": "US",
            "telephone_number": "808-727-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "LSW2421",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "STASKIEWICZ",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Kahului, HI
• Providers in Kahului, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.