Sheyda Agah

Individual provider Active NPI Behavior Technician · Mililani, HI

NPI 1417567447 · NPPES record last updated Aug 4, 2020

Key facts

NPI
1417567447
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
100 Kahelu Ave Ste 112
Mililani, HI 96789-3913
Phone
(808) 625-3000
NPI assigned
Aug 4, 2020
Sex
Female
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

100 Kahelu Ave Ste 112
Mililani, HI 96789-3913

Mailing address

100 Kahelu Ave Ste 112
Mililani, HI 96789-3913

Other providers in Mililani, HI

All providers in Mililani, HI · Behavior Technician in Hawaii

Sources for this page

Verify at the official NPI Registry.