Individual provider Active NPI

Emma Palumbo, BCBA, LBA

  • Behavior Analyst
  • Lihue, HI
National Provider Identifier
1679969281
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-387 Issued in HI
Practice address
3083 Akahi St Ste 101
Lihue, HI 96766-1102
Phone
(808) 245-4841
NPI assigned
Apr 9, 2015
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA.BA.60888132 WA
Behavior Analyst 103K00000X BA-387 HI Primary

Addresses

Primary practice location

3083 Akahi St Ste 101
Lihue, HI 96766-1102

Mailing address

PO Box 971
Kilauea, HI 96754-0971
Phone (808) 634-3423

Other practice location 1

15914 44th Ave W Apt N202
Lynnwood, WA 98087-8934
Phone (808) 634-3423

Other practice location 2

18311 Bothell Everett Hwy Ste 260
Bothell, WA 98012-5233
Phone (206) 437-5412

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
BA-387HIMDBehavioral Analyst
LBA.BA.60888132WAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1679969281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967540971",
            "telephone_number": "808-634-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 AKAHI ST STE 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661102",
            "telephone_number": "808-245-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15914 44th Ave W Apt N202",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980878934",
            "country_code": "US",
            "telephone_number": "808-634-3423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18311 Bothell Everett Hwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980125233",
            "country_code": "US",
            "telephone_number": "206-437-5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "EMMA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "LBA.BA.60888132",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.