Justin Elegino Barsatan

Individual provider Active NPI Behavior Technician · Mililani, HI

NPI 1982254306 · NPPES record last updated Sep 17, 2019

Key facts

NPI
1982254306
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
95-224 Auhaele Loop
Mililani, HI 96789-1205
Phone
(808) 365-8332
NPI assigned
Sep 17, 2019
Sex
Male
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

95-224 Auhaele Loop
Mililani, HI 96789-1205

Mailing address

95-224 Auhaele Loop
Mililani, HI 96789-1205
Phone (808) 365-8332

Other providers in Mililani, HI

All providers in Mililani, HI · Behavior Technician in Hawaii

Sources for this page

Verify at the official NPI Registry.