Healthcare Provider Details

I. General information

NPI: 1679221360
Provider Name (Legal Business Name): AULANI KAMEAIOMAKAMAE LATORRE-HOLT BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2022
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-723 AIEA HEIGHTS DR UNIT 2
AIEA HI
96701-3502
US

IV. Provider business mailing address

99-723 AIEA HEIGHTS DR UNIT 2
AIEA HI
96701-3502
US

V. Phone/Fax

Practice location:
  • Phone: 808-597-6508
  • Fax:
Mailing address:
  • Phone: 808-597-6508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-26-2841673
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: