Active NPI
Evon L Futch, RBT
- Behavior Technician
- Waipahu, HI
National Provider Identifier
1629585666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-12285
- Practice address
- 94-1221 Ka Uka Blvd Ste 108
Waipahu, HI 96797-6299 - Phone
- (808) 292-7968
- NPI assigned
- Dec 29, 2017
- Last updated
- Dec 29, 2017
- Sex
- Female
- Sole proprietor
- No
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 | RBT-16-12285 | CO | Primary |
Addresses
Primary practice location
94-1221 Ka Uka Blvd Ste 108
Waipahu, HI 96797-6299
Mailing address
94-1221 Ka Uka Blvd Unit 108167
Waipahu, HI 96797-6202
Phone (808) 292-7968
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 |
|---|---|---|---|
| RBT-16-12285 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1629585666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-1221 KA UKA BLVD UNIT 108167",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967976202",
"telephone_number": "808-292-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1221 KA UKA BLVD STE 108",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967976299",
"telephone_number": "808-292-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUTCH",
"first_name": "EVON",
"middle_name": "L",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-16-12285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.