Serena Lachance
Individual provider Active NPI Behavior Technician · Pahoa, HI
NPI 1710695598 · NPPES record last updated Nov 9, 2022
Key facts
- NPI
- 1710695598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-237059 (HI)
- Practice address
- 16-2049 Vanda Dr
Pahoa, HI 96778-7792 - Phone
- (877) 584-6227
- Fax
- (808) 356-1310
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-237059 | HI | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-237059 | HI | Yes |
Addresses
Primary practice location
16-2049 Vanda Dr
Pahoa, HI 96778-7792
Mailing address
7192 Kalanianaole Hwy Ste A143A
Honolulu, HI 96825-1849
Phone (877) 584-6227
Other providers in Pahoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2022. 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.