Healthcare Provider Details

I. General information

NPI: 1154892602
Provider Name (Legal Business Name): ANABEL ARELLANO RBT, LMT, CMT, CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 01/15/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 MILLER ST
HONOLULU HI
96813-2493
US

IV. Provider business mailing address

5628 ILEINA LN
KAPAA HI
96746-2300
US

V. Phone/Fax

Practice location:
  • Phone: 202-520-0847
  • Fax:
Mailing address:
  • Phone: 202-520-0847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberHE306
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMAT-15773
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHIMD00190733E
License Number StateHI
# 6
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-396400
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: