NPIMap

Organization Active NPI

Sharky Hearts Behavior Support Services LLC

  • Behavior Analyst
  • Kailua Kona, HI
National Provider Identifier
1659029726
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHARKY HEARTS BEHAVIOR SUPPORT SERVICES LLC
Practice address
74-5078 Kumakani St
Kailua Kona, HI 96740-1530
Phone
(808) 746-1779
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Paige Stegeman, BCBA, LBANPI 1578038303
Title
Board Certified Behavior Analyst
Phone
(808) 746-1779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

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

Mailing address

74-5078 Kumakani St
Kailua Kona, HI 96740-1530
Phone (808) 746-1779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1659029726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-5078 KUMAKANI ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401530",
            "telephone_number": "808-746-1779"
        },
        {
            "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": {
        "organization_name": "SHARKY HEARTS BEHAVIOR SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "STEGEMAN",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "808-746-1779",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Mar 16, 2022; 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.