Gesine Dommer
Individual provider Active NPI Behavior Analyst · Kamuela, HI
NPI 1669860771 · NPPES record last updated Dec 26, 2014
Key facts
- NPI
- 1669860771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 65-1279 Kawaihae Rd
Suite 201
Kamuela, HI 96743-8444 - Phone
- (808) 887-0747
- Fax
- (808) 887-0741
- NPI assigned
- Dec 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
65-1279 Kawaihae Rd
Suite 201
Kamuela, HI 96743-8444
Mailing address
PO Box 6406
Kamuela, HI 96743-6406
Phone (808) 217-5268
Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2014. 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.