Healthcare Provider Details

I. General information

NPI: 1962918383
Provider Name (Legal Business Name): ALL ABOUT BEHAVIOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2017
Last Update Date: 12/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45-955 KAMEHAMEHA HWY STE 404
KANEOHE HI
96744-3222
US

IV. Provider business mailing address

45-955 KAMEHAMEHA HWY STE 404
KANEOHE HI
96744-3222
US

V. Phone/Fax

Practice location:
  • Phone: 808-247-2973
  • 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: MRS. ANA KING
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 808-741-2232