Mona Rae Fuluvaka

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-16-7120 Issued in WA

Practice address

3100 NW Bucklin Hill Rd
Suite 224
Silverdale, WA 98383-8358

Phone

(360) 536-3060

Fax

(347) 823-9717

NPI assigned

Jul 31, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mona Rae Kealoha Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1720464746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10259 YATES LN NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983129543",
            "telephone_number": "360-536-3060",
            "fax_number": "347-823-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD",
            "address_2": "SUITE 224",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358",
            "telephone_number": "360-536-3060",
            "fax_number": "347-823-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULUVAKA",
        "first_name": "MONA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60508326",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "0-16-7120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "KEALOHA",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Lee Froines, DC
• Kelsey Ann Froula, ARNP
• Daniel Kim Frum, M.D.
• Frye & Correll PLLC
• Phanayle Fulmore
• Iris Fung, AUD
• Ashley Rose Fusselman
• Rachel E Gabriel, MD
• Caryn Mae Gabryshak, PA-C
• Kathleen Bernadette Gallegos, ARNP

• Assistant Behavior Analyst in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.