Healthcare Provider Details

I. General information

NPI: 1326731241
Provider Name (Legal Business Name): KIANA CARBAAT RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIANA SHIMABUKKURO

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 SALT LAKE BLVD
HONOLULU HI
96818-3153
US

IV. Provider business mailing address

4510 SALT LAKE BLVD STE C4
HONOLULU HI
96818-3171
US

V. Phone/Fax

Practice location:
  • Phone: 808-486-1804
  • Fax:
Mailing address:
  • Phone: 808-486-1804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: