Healthcare Provider Details

I. General information

NPI: 1932485729
Provider Name (Legal Business Name): THE COMMUNICATION STATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 08/09/2020
Certification Date: 08/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S KAMEHAMEHA HWY STE 6
WAHIAWA HI
96786-1856
US

IV. Provider business mailing address

94-1014 AHAHUI PL
MILILANI HI
96789-2554
US

V. Phone/Fax

Practice location:
  • Phone: 808-499-5362
  • Fax: 808-379-2223
Mailing address:
  • Phone: 808-499-5362
  • Fax: 808-379-2223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRIANNA MARIE MAES
Title or Position: OWNER
Credential: SLP, BCBA
Phone: 808-499-5362