Basic Information
| Provider Information | |||||||||
| NPI: | 1689180739 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUNCAN | ||||||||
| FirstName: | LARIZA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1438 PENSACOLA ST | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968225829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124933547 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1438 PENSACOLA ST | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968225829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085916060 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/26/2017 | ||||||||
| LastUpdateDate: | 03/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | RBT16-26183 | HI | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 106S00000X | RBT1626183 | HI | N | 103K00000X | BCBA358575 | HI | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.