NPIMap

Organization Active NPI

Venture ABA Hawaii LLC

  • Behavior Analyst
  • Ewa Beach, HI
National Provider Identifier
1457069049
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
VENTURE ABA HAWAII LLC
Practice address
91-1159 Kamakana St Apt 120
Ewa Beach, HI 96706-2023
Phone
(808) 721-8386
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Gregory Manzo, MS BCBA LBANPI 1255632709
Title
Owner
Phone
(808) 721-8386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

91-1159 Kamakana St Apt 120
Ewa Beach, HI 96706-2023

Mailing address

91-1159 Kamakana St Apt 120
Ewa Beach, HI 96706-2023
Phone (808) 721-8386

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1457069049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1159 KAMAKANA ST APT 120",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062023",
            "telephone_number": "808-721-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1159 KAMAKANA ST APT 120",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062023",
            "telephone_number": "808-721-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE ABA HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-721-8386",
        "authorized_official_credential": "MS BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.