Jennifer Agbebiyi

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1615727 Issued in HI

Practice address

4510 Salt Lake Blvd
Honolulu, HI 96818

Phone

(808) 456-4810

NPI assigned

Dec 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1407362759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183153",
            "telephone_number": "808-486-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96818",
            "telephone_number": "808-456-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBEBIYI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "1615727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abcde Faith Agapay
• Eleanor Agapito-Mariano
• Janared Agaran, MS
• Kyan Renie Agbayani
• Myrel Agbayani, OTD, OTR/L
• Lailene Evelyn Visoria Agbisit
• Danette Mabasa Agcaoili
• Alodia Danielle Agdamag
• Carmelli Agdeppa
• Christy Agena, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.