Healthcare Provider Details

I. General information

NPI: 1467806430
Provider Name (Legal Business Name): YOKO OKUDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US

IV. Provider business mailing address

500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB289019
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: