Kevin John Bardsley-Marcial

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

45-216 Pahikaua St
Kaneohe, HI 96744-2342

Phone

(808) 429-2185

NPI assigned

Nov 28, 2022

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

Electronic endpoints 1

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1801506175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-820 MOANALUA RD",
            "address_2": "SPACE 5 PMB 161",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015200",
            "telephone_number": "808-845-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-216 PAHIKAUA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442342",
            "telephone_number": "808-429-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDSLEY-MARCIAL",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin@balancedaba.com",
            "affiliation": "Y",
            "affiliationName": "Balanced ABA",
            "address_1": "98-820 Moanalua Rd Space 5",
            "address_2": "PMB 161",
            "city": "Aiea",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.