Basic Information
| Provider Information | |||||||||
| NPI: | 1962918383 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALL ABOUT BEHAVIOR, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45-955 KAMEHAMEHA HWY STE 404 | ||||||||
| Address2: | |||||||||
| City: | KANEOHE | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967443222 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 45-955 KAMEHAMEHA HWY STE 404 | ||||||||
| Address2: | |||||||||
| City: | KANEOHE | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967443222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082472973 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2017 | ||||||||
| LastUpdateDate: | 12/20/2017 | ||||||||
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| AuthorizedOfficialLastName: | KING | ||||||||
| AuthorizedOfficialFirstName: | ANA | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8087412232 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | HI | Y | 193400000X SINGLE SPECIALTY GROUP |
No ID Information.