Healthcare Provider Details

I. General information

NPI: 1073164471
Provider Name (Legal Business Name): CHIEDOZIE ORJI BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 ALA MOANA BLVD STE 1
HONOLULU HI
96814-4262
US

IV. Provider business mailing address

1331 ALA KAPUNA ST APT 208
HONOLULU HI
96819-1315
US

V. Phone/Fax

Practice location:
  • Phone: 808-585-1424
  • Fax:
Mailing address:
  • Phone: 808-376-9821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA-737-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: