Active NPI
Daniel Zimmerman, MS, BCBA
- Behavior Analyst
- Honolulu, HI
National Provider Identifier
1811463433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 646
- Practice address
- 400 Hobron LN Apt 1601
Honolulu, HI 96815-1203 - Phone
- (310) 955-6653
- NPI assigned
- Oct 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-50749 | CA | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 646 | HI | Primary |
Addresses
Primary practice location
400 Hobron LN Apt 1601
Honolulu, HI 96815-1203
Mailing address
400 Hobron LN Apt 1601
Honolulu, HI 96815-1203
Other practice location 1
500 Ala Moana Blvd Ste 7-400
Honolulu, HI 96813-4902
Phone (855) 832-6727
Other practice location 2
98-939 Moanalua Rd
Aiea, HI 96701-5012
Phone (855) 223-7123
Other practice location 3
631 River Oaks Pkwy
San Jose, CA 95134-1907
Phone (408) 914-9153
Other practice location 4
1479 Saratoga Ave
San Jose, CA 95129-4934
Phone (818) 241-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1811463433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HOBRON LN APT 1601",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOBRON LN APT 1601",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151203",
"telephone_number": "310-955-6653"
}
],
"practiceLocations": [
{
"address_1": "500 Ala Moana Blvd Ste 7-400",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968134902",
"country_code": "US",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "98-939 Moanalua Rd",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967015012",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "631 River Oaks Pkwy",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951341907",
"country_code": "US",
"telephone_number": "408-914-9153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1479 Saratoga Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951294934",
"country_code": "US",
"telephone_number": "818-241-6780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "DANIEL",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-50749",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.