Active NPI
Christine Jarvis, BEHAVIOR TECHNICIAN
- Behavior Technician
- Honolulu, HI
National Provider Identifier
1497459648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-261893
- Practice address
- 7002 Hawaii Kai Dr Apt 1911
Honolulu, HI 96825-4209 - Phone
- (808) 386-7122
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | 23-261893 | HI | Primary |
Addresses
Primary practice location
7002 Hawaii Kai Dr Apt 1911
Honolulu, HI 96825-4209
Mailing address
1020 Kakala St Apt 1505
Kapolei, HI 96707-4546
Phone (860) 462-6884
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 |
|---|---|---|---|
| 23-261893 | HI | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alissa Katada ABA Services, LLC | Current | Accepting new patients |
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.
-
- Behavior Analyst
- Honolulu, HI
- NPI 1013677848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1497459648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 KAKALA ST APT 1505",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967074546",
"telephone_number": "860-462-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7002 HAWAII KAI DR APT 1911",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968254209",
"telephone_number": "808-386-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "CHRISTINE",
"credential": "BEHAVIOR TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "23-261893",
"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 Mar 29, 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.