Healthcare Provider Details
I. General information
NPI: 1477335347
Provider Name (Legal Business Name): BRIANNA-ALEXIS HUIHUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/16/2023
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
94-428 MOKUOLA ST STE 214A
WAIPAHU HI
96797-3396
US
IV. Provider business mailing address
99-870 IWAENA ST STE 101
AIEA HI
96701-3278
US
V. Phone/Fax
- Phone: 808-944-2882
- Fax:
- Phone: 808-277-7736
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 224Z00000X |
| Taxonomy | Occupational Therapy Assistant |
| License Number | OTA-342 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | 23303053 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: