Basic Information
Provider Information
NPI: 1629590294
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSUCHIHASHI
FirstName: YUKIKO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 210 WARD AVE STE 219
Address2:  
City: HONOLULU
State: HI
PostalCode: 968144003
CountryCode: US
TelephoneNumber: 8085851424
FaxNumber:  
Practice Location
Address1: 210 WARD AVENUE, SUITE 219
Address2:  
City: HONOLULU
State: HI
PostalCode: 96814
CountryCode: US
TelephoneNumber: 8085851424
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X HIY Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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