Individual provider Active NPI

Kaysha-Ann Tiare Mayol

  • Behavior Technician
  • Honolulu, HI
National Provider Identifier
1508340217
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Phone
(855) 832-6721
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X HI Primary
Behavior Analyst 103K00000X HI
Behavior Analyst 103K00000X

Addresses

Primary practice location

500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902

Mailing address

500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Phone (855) 832-6721

Other practice location 1

355 Hukilike St Ste 204A
Kahului, HI 96732-2998
Phone (818) 345-2345

Other practice location 2

355 Hukilike St Ste 204A
Kahului, HI 96732-2998
Phone (818) 345-2345

Other practice location 3

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

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

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1508340217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 7400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134902",
            "telephone_number": "855-832-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 7400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134902",
            "telephone_number": "855-832-6721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Hukilike St Ste 204A",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967322998",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Hukilike St Ste 204A",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967322998",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21600 Oxnard St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677807",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYOL",
        "first_name": "KAYSHA-ANN",
        "middle_name": "TIARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 22, 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.