Healthcare Provider Details
I. General information
NPI: 1821342981
Provider Name (Legal Business Name): ABA STEPS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2012
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 AARONA PL STE 208
KAILUA HI
96734-2545
US
IV. Provider business mailing address
2 AARONA PL STE 208
KAILUA HI
96734-2545
US
V. Phone/Fax
- Phone: 808-782-6503
- Fax: 877-680-1473
- Phone: 808-782-6503
- Fax: 877-680-1473
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMELY
LETICIA
SUAZO
Title or Position: MEMBER/PRESIDENT
Credential: BCBA, LBA
Phone: 808-263-5521