John Derick Collado
Individual provider Active NPI Behavior Technician · Waipahu, HI
NPI 1699529065 · NPPES record last updated Apr 12, 2024
Key facts
- NPI
- 1699529065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 94-849 Lumiaina St Unit 201
Waipahu, HI 96797-5677 - Phone
- (855) 223-7123
- NPI assigned
- Apr 12, 2024
- Sex
- Male
- Sole proprietor
- No
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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
94-849 Lumiaina St Unit 201
Waipahu, HI 96797-5677
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Other providers in Waipahu, HI
- Clinical Pharmacy Consultants
- Isabelle Coates
- Paul Coelho
- Jaynee Colberg
- Jacqueline Cole
- Maile M K Collado
- Cindy C. Collo
- Maricel Corpuz Coloma
- Jessica Colon
- Nia Colon
All providers in Waipahu, HI · Behavior Technician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2024. 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.