Individual provider Active NPI

Fred Kekino Yuen, M.S., BCBA

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1457775272
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA27 Issued in HI
Practice address
710 Palekaua St
Honolulu, HI 96816-4755
Phone
(808) 780-0014
Fax
(808) 356-1609
NPI assigned
Feb 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14877 HI
Behavior Analyst 103K00000X BA27 HI Primary

Addresses

Primary practice location

710 Palekaua St
Honolulu, HI 96816-4755

Mailing address

PO Box 22005
Honolulu, HI 96823-2005
Phone (808) 780-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
BA27HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral and Therapeutic Services of Hawaii LLC Behavior Analyst CurrentSince Sep 8, 2019 Accepting new patients

Locations

710 Palekaua St
Honolulu, HI 96816
Phone (808) 780-0014

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1457775272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22005",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968232005",
            "telephone_number": "808-780-0014",
            "fax_number": "808-356-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PALEKAUA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164755",
            "telephone_number": "808-780-0014",
            "fax_number": "808-356-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "FRED",
        "middle_name": "KEKINO",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-13-14877",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.