Basic Information
| Provider Information | |||||||||
| NPI: | 1194066951 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOGAN | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | N | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99-870 IWAENA ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | AIEA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967013278 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 99-950 IWAENA ST | ||||||||
| Address2: | STE. 2 | ||||||||
| City: | AIEA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967015645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082777736 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2013 | ||||||||
| LastUpdateDate: | 07/18/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | Y | Behavioral Health & Social Service Providers | Behavioral Analyst | 103K00000X | 77 | HI | N | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.