Amanda Farmer

Individual provider Active NPI Behavior Technician · Aiea, HI

NPI 1962221085 · NPPES record last updated Oct 7, 2024

Key facts

NPI
1962221085
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
98-939 Moanalua Rd
Aiea, HI 96701-5012
Phone
(855) 223-7123
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

98-939 Moanalua Rd
Aiea, HI 96701-5012

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123

Other providers in Aiea, HI

All providers in Aiea, HI · Behavior Technician in Hawaii

Sources for this page

Verify at the official NPI Registry.