Healthcare Provider Details

I. General information

NPI: 1417882523
Provider Name (Legal Business Name): MISS KEREN REYNBERL GRACE PASCO BAYNO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 MILLER ST
HONOLULU HI
96813-2493
US

IV. Provider business mailing address

301 OHAI PL APT C
WAHIAWA HI
96786-5722
US

V. Phone/Fax

Practice location:
  • Phone: 808-788-8702
  • Fax:
Mailing address:
  • Phone: 808-788-8702
  • 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: