Individual provider Active NPI

Amber Katrina, BCBA

  • Behavior Analyst
  • Kailua, HI
National Provider Identifier
1932646908
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
25 Kaneohe Bay Dr Unit 211212
Kailua, HI 96734-1727
Phone
(808) 388-1683
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

25 Kaneohe Bay Dr Unit 211212
Kailua, HI 96734-1727

Mailing address

539 Kalolina St
Kailua, HI 96734-2048
Phone (334) 447-8965

Other identifiers 1

IdentifierTypeStateIssuer
BA248OtherHIHAWAII STATE LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Behavioral Practice CurrentSince Jul 25, 2019 Accepting new patients

Locations

970 N Kalaheo Ave
Ste A203
Kailua, HI 96734
Phone (808) 261-4999

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1932646908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 KALOLINA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342048",
            "telephone_number": "334-447-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KANEOHE BAY DR UNIT 211212",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341727",
            "telephone_number": "808-388-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATRINA",
        "first_name": "AMBER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII STATE LICENSE",
            "identifier": "BA248",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.