Sandwell ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-136 Issued in HI

Legal business name

SANDWELL ABA LLC

Practice address

95-390 Kuahelani Ave
Suite 3Ac #1082
Mililani, HI 96789-1190

Phone

(858) 247-1828

NPI assigned

Mar 13, 2018

Last updated

Mar 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Sandwell, MA, BCBA

Title

Clinical Director

Phone

(858) 247-1828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1538662804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "address_2": "SUITE 3AC #1082",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "address_2": "SUITE 3AC #1082",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891190",
            "telephone_number": "858-247-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDWELL ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "SANDWELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "858-247-1828",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Samante
• Allen Sampson
• Erica Samuels
• Yvonne San Agustin, RBT
• Novena Saguid Sanchez
• Joshua Santa Ana, LMT
• Rachel Santiago
• Tiare Kaiulani Santiago
• Cheyne Santos
• Ma Luisa Ramos Santos

• Behavior Analyst in Mililani, HI
• Providers in Mililani, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.