Active NPI
Andrea Pro
- Behavior Technician
- Holualoa, HI
National Provider Identifier
1982234175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-109543
- Practice address
- 78-6585 Mamalahoa Highway
Holualoa, HI 96725 - Phone
- (808) 824-2884
- NPI assigned
- Jan 16, 2020
- Last updated
- Jan 16, 2020
- 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-20-109543 | HI | Primary |
Addresses
Primary practice location
78-6585 Mamalahoa Highway
Holualoa, HI 96725
Mailing address
7192 Kalanianaole Hwy Ste A143A
Honolulu, HI 96825-1849
Phone (808) 824-2884
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-20-109543 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1982234175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HWY STE A143A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968251849",
"telephone_number": "808-824-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78-6585 MAMALAHOA HIGHWAY",
"city": "HOLUALOA",
"state": "HI",
"postal_code": "96725",
"telephone_number": "808-824-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRO",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-20-109543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holualoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.