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General NPI Number Information
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NPI Number | 1790628261
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Entity Type | Organization
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Legal Business Name | REVOLUTION BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 345 QUEEN ST STE 702
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City | HONOLULU
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State | HI
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Zip | 96813-4718
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Country | US
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Telephone | 808-207-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 345 QUEEN ST STE 702-118
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City | HONOLULU
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State | HI
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Zip | 96813-4727
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Country | US
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Telephone | 808-207-5272
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERT WASHINGTON
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Credential |
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Telephone | 808-207-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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