Camryn-Joy Keanuenueonalani Garcia
Individual provider Active NPI Behavior Technician · Lihue, HI
NPI 1508559121 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1508559121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-276194 (HI)
- Practice address
- 3175 Elua St Ste B
Lihue, HI 96766-1203 - Phone
- (808) 246-4808
- NPI assigned
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-276194 | HI | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-276194 | HI | Yes |
Addresses
Primary practice location
3175 Elua St Ste B
Lihue, HI 96766-1203
Mailing address
3175 Elua St Ste B
Lihue, HI 96766-1203
Phone (808) 246-4808
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.