Imi Ola Autism Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BA-78 Issued in HI

Legal business name

IMI OLA AUTISM SERVICES

Practice address

590 Farrington Hwy
#524-225
Kapolei, HI 96707-2009

Phone

(808) 979-1824

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Taryn K Awana-Scanlan, M.A., BCBA

Title

Executive Director

Phone

(808) 979-1824

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Imi Ola Autism Center Other name

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1740633114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY",
            "address_2": "#524-225",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY",
            "address_2": "#524-225",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009",
            "telephone_number": "808-979-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMI OLA AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "AWANA-SCANLAN",
        "authorized_official_first_name": "TARYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-979-1824",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "BA-78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII",
            "identifier": "BA-78",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-14-17089",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imi Ola Autism Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Passi Iafeta
• Malika Iagafarova
• Brannt Ibara
• Pearl M a S Iese, LCSW
• Alyssa Imai, LSW
• Karen Inafuku
• Kilee Kauionalani Inn, RBT
• Micah Inoue
• Integrative Holdings Company, LTD (Integrative Bodyworks Hawaii)
• Anastasia Iosia

• Community/Behavioral Health Agency in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.