Healthcare Provider Details

I. General information

NPI: 1518878461
Provider Name (Legal Business Name): KATRINA NICOLE POMAIKAI LAU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 BISHOP ST
HONOLULU HI
96813-6400
US

IV. Provider business mailing address

99-701 MALAE PL
AIEA HI
96701-3149
US

V. Phone/Fax

Practice location:
  • Phone: 808-520-4633
  • 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: