Casey Terry, RBT
Individual provider Active NPI Behavior Technician · Kula, HI
NPI 1396202099 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1396202099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 443 Copp Rd
Kula, HI 96790-7947 - Phone
- (612) 559-6184
- NPI assigned
- Feb 28, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
443 Copp Rd
Kula, HI 96790-7947
Mailing address
37 Aheahe PL
Makawao, HI 96768-8801
Phone (612) 559-6184
Other providers in Kula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2019. 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.