Active NPI
Jennifer Lintag Upham
- Behavior Analyst
- Kapolei, HI
National Provider Identifier
1477196293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-340
- Practice address
- 92-461 Makakilo Dr
Kapolei, HI 96707-1270 - Phone
- (808) 536-1015
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA-340 | HI | Primary |
Addresses
Primary practice location
92-461 Makakilo Dr
Kapolei, HI 96707-1270
Mailing address
710 Green St
Honolulu, HI 96813-2119
Phone (808) 536-1015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA-340 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1477196293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 GREEN ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132119",
"telephone_number": "808-536-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92-461 MAKAKILO DR",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071270",
"telephone_number": "808-536-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPHAM",
"first_name": "JENNIFER",
"middle_name": "LINTAG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA-340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.