Kathryn Baum
Individual provider Active NPI Behavior Technician · Kailua, HI
NPI 1780449249 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1780449249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669 - Phone
- (808) 247-2973
- NPI assigned
- Feb 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669
Mailing address
905 Kalanianaole Hwy SPC 5001
Kailua, HI 96734-4669
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 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.