Angelique Vincent

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4510 Salt Lake Blvd Ste C4
Honolulu, HI 96818-3171

Phone

(808) 486-1804

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1972154425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD STE C4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183171",
            "telephone_number": "253-881-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD STE C4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183171",
            "telephone_number": "808-486-1804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12310 Coal Mine Rise",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782453495",
            "country_code": "US",
            "telephone_number": "253-881-9945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ANGELIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Vilwok-Biaquis
• Vince Yamashiroya, MD, Inc.
• Vincent a Lucy MD LLC
• Vincent J. Nip, M.D., Inc
• Alicia Jean Vincent, LMT MAT 16065
• Brenda A Vincent, RD
• Katharine Vincent, APRN
• Vincente S Ramo MD PC Inc
• Vinson K Diep MD Inc
• Amber Vinson, LMFT

• Behavior Technician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.