Racquel Kahula Kahealani Deguzman-Bartels
Individual provider Active NPI Behavior Technician · Keaau, HI
NPI 1396458659 · NPPES record last updated Jan 3, 2023
Key facts
- NPI
- 1396458659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 15-1686 8TH Ave
Keaau, HI 96749 - Phone
- (808) 494-9290
- NPI assigned
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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
15-1686 8TH Ave
Keaau, HI 96749
Mailing address
PO Box 901
Keaau, HI 96749-0901
Phone (808) 494-9290
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deguzmanbartelsr@hibh.org | Direct | Hawaii Behavioral Health |
Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2023. 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.