Individual provider Active NPI

Malena Charreton, MS, BCBA

  • Behavior Analyst
  • Kailua Kona, HI
National Provider Identifier
1508553736
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-887-0 Issued in HI
Practice address
74-5078 Kumakani St
Kailua Kona, HI 96740-1530
Phone
(808) 746-1779
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-887-0 HI Primary

Addresses

Primary practice location

74-5078 Kumakani St
Kailua Kona, HI 96740-1530

Mailing address

75-5873 Walua Rd Apt D232
Kailua Kona, HI 96740-5319
Phone (832) 491-8134

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
BA-887-0HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sharky Hearts Behavior Support Services LLC Behavior Analyst CurrentSince Apr 23, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1508553736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5873 WALUA RD APT D232",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405319",
            "telephone_number": "832-491-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5078 KUMAKANI ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401530",
            "telephone_number": "808-746-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRETON",
        "first_name": "MALENA",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-887-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.