Healthcare Provider Details

I. General information

NPI: 1700764032
Provider Name (Legal Business Name): SHAILAH-MAE DACANAY YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-539 PUAHI ST
WAIPAHU HI
96797-6200
US

IV. Provider business mailing address

94-539 PUAHI ST
WAIPAHU HI
96797-6200
US

V. Phone/Fax

Practice location:
  • Phone: 808-501-2000
  • Fax:
Mailing address:
  • Phone: 808-501-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-464134
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: