Healthcare Provider Details

I. General information

NPI: 1114854528
Provider Name (Legal Business Name): THE BEHAVIOR HIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 HEULU ST APT 304A
HONOLULU HI
96822-3056
US

IV. Provider business mailing address

1315 HEULU ST APT 304A
HONOLULU HI
96822-3056
US

V. Phone/Fax

Practice location:
  • Phone: 808-861-4287
  • Fax:
Mailing address:
  • Phone: 916-494-1526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANEYA LYNN LOGAN
Title or Position: CO-OWNER
Credential: LBA
Phone: 916-494-1526