Healthcare Provider Details

I. General information

NPI: 1306353156
Provider Name (Legal Business Name): RHODALYN USIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 SALT LAKE BLVD
HONOLULU HI
96818-3153
US

IV. Provider business mailing address

41 MAKAWEO AVE
WAHIAWA HI
96786-2320
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: