Healthcare Provider Details

I. General information

NPI: 1700381258
Provider Name (Legal Business Name): NATALIE HOGAN M.S, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE SCHAD MS, BCBA

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2969 MAPUNAPUNA PL STE 200
HONOLULU HI
96819-2000
US

IV. Provider business mailing address

3436 TAYLOR ST
HONOLULU HI
96818-3320
US

V. Phone/Fax

Practice location:
  • Phone: 808-277-7736
  • Fax:
Mailing address:
  • Phone: 916-225-7052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-33808
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: