Healthcare Provider Details

I. General information

NPI: 1780507202
Provider Name (Legal Business Name): RICHARD J SANDOWSKI RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45-130 MAHALANI CIR
KANEOHE HI
96744-2718
US

IV. Provider business mailing address

45-130 MAHALANI CIR
KANEOHE HI
96744-2718
US

V. Phone/Fax

Practice location:
  • Phone: 808-779-3566
  • Fax: 877-522-8210
Mailing address:
  • Phone: 808-779-3566
  • Fax: 877-522-8210

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: