Basic Information
| Provider Information | |||||||||
| NPI: | 1356502066 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BEHAVIOR ANALYSIS NO KA OI INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 564 SOUTH STREET | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085911173 | ||||||||
| FaxNumber: | 8085911174 | ||||||||
| Practice Location | |||||||||
| Address1: | 564 SOUTH STREET | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085911173 | ||||||||
| FaxNumber: | 8085911174 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2008 | ||||||||
| LastUpdateDate: | 07/20/2016 | ||||||||
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| AuthorizedOfficialLastName: | WALTON | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINE | ||||||||
| AuthorizedOfficialMiddleName: | KIM | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8085911173 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PHD, BCBA-D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320900000X | 1-00-0056 | Y | Residential Treatment Facilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
No ID Information.