Ameyo Florabelle Agnissey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-89129 Issued in HI

Practice address

211 Carpenter St
Wahiawa, HI 96786

Phone

(808) 305-1800

Fax

(808) 624-9505

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By 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

• Ameyo Essi Florabele Yoplo 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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1962005447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-246 AUHAELE LOOP",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891205",
            "telephone_number": "808-352-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CARPENTER ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "96786",
            "telephone_number": "808-305-1800",
            "fax_number": "808-624-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNISSEY",
        "first_name": "AMEYO",
        "middle_name": "FLORABELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-19-89129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMEYO",
            "last_name": "YOPLO",
            "middle_name": "ESSI FLORABELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• 21St Century Healthcare LLC LLC
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• Lauren Alcosiba

• Behavior Technician in Wahiawa, HI
• Providers in Wahiawa, 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 18, 2020; 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.