Active NPI
Taquayzae Renee Miller
- Behavior Technician
- Honolulu, HI
National Provider Identifier
1871261396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-162692
- Practice address
- 2155 Kalakaua Ave Ste 701
Honolulu, HI 96815-2341 - Phone
- (808) 501-2362
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-162692 | HI | Primary |
Addresses
Primary practice location
2155 Kalakaua Ave Ste 701
Honolulu, HI 96815-2341
Mailing address
3803 Anselmo LN
Wahiawa, HI 96786-3671
Phone (252) 326-3945
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-162692 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735948800000",
"number": "1871261396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 ANSELMO LN",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967863671",
"telephone_number": "252-326-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 KALAKAUA AVE STE 701",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968152341",
"telephone_number": "808-501-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TAQUAYZAE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2025-01-04",
"certification_date": "2025-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-21-162692",
"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 Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.