John Kealii Puliatch

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-15-01758 Issued in NU

Practice address

1847 S Kihei Rd Ste 105
Kihei, HI 96753-7939

Phone

(808) 879-4111

NPI assigned

Dec 19, 2017

Last updated

Dec 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1801302310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 S KIHEI RD STE 105",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 S KIHEI RD STE 105",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537939",
            "telephone_number": "808-879-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIATCH",
        "first_name": "JOHN",
        "middle_name": "KEALII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-15-01758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Kihei, HI
• Providers in Kihei, HI by specialty
• Behavior Technician in Hawaii

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