Jamay Patricia Dizon, LPN, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1126856 Issued in HI

Practice address

91-1159 Kamakana St
Ewa Beach, HI 96706-2022

Phone

(808) 799-6795

NPI assigned

Jun 29, 2024

Last updated

Jun 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jamay Patricia Pestano 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": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1801631916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 MCGOWAN PL",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967865601",
            "telephone_number": "915-268-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1159 KAMAKANA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062022",
            "telephone_number": "808-799-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "JAMAY PATRICIA",
        "credential": "LPN, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "BACB1126856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMAY PATRICIA",
            "last_name": "PESTANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lizelle Ancheta Deuz
• Macaele Diane Devries, MA, MS
• Mark Daniel Dichner, PH.D.
• Randy Agbayani Diga
• Leticia Garcia Diniega, MD
• Yongsok DO, D.M.D
• Angela Doi
• Nancy Cardoso Dominesey
• Alexis Michaela Ednilao Domingo, ATC
• Myra Krizzha Mae Ribao Domingo, RN

• Behavior Technician in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.