Marivic Abarra Elaydo, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-237040 Issued in HI

Practice address

555 Fraser Ave
Lanai City, HI 96763

Phone

(808) 999-8900

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By 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

Electronic endpoints 1

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": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1982317608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630630",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967630630",
            "telephone_number": "808-999-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FRASER AVE",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "96763",
            "telephone_number": "808-999-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAYDO",
        "first_name": "MARIVIC",
        "middle_name": "ABARRA",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-22-237040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marivic.elaydo@k12.hi.us",
            "affiliation": "N",
            "endpointDescription": "HIDOE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work email",
            "address_1": "555 Fraser Ave",
            "city": "Lanai City",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bio-Medical Applications of California, Inc. (FMC Lanai Community Dialysis Center)
• Jamie Kamailani Boyd, FNP
• Karen Brown, LMT
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Tyra Renee Du Bose
• Michele Ann Evangelista, MASSAGE THERAPIST
• Reynold Masaji Gima, MSC
• Nora Kay Harmsen, DDS
• Hawaii Dental Clinic Lanai
• Honolulu Vamc

• Behavior Technician in Lanai City, HI
• Providers in Lanai City, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.