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NPI Code Detail

MEDICARE: SARA DINKELO BCBA, LBA (HI)

MEDICARE: SARA DINKELO BCBA, LBA (HI)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-15-19464HI
2103K00000XBehavior AnalystBA-52HI

General Provider Information

NPI Number : 1154793800
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA DINKELO BCBA, LBA (HI)
Provider Business Mailing Address
First Line : 1390 MILLER ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2493
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1390 MILLER ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2493
Country : US
Telephone Number : 808-586-3230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 05/26/2026

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