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General NPI Number Information
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NPI Number | 1932688165
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Entity Type | Organization
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Legal Business Name | BEHAVIOR ANALYSIS AND FAMILY THERAPY CENTER OF HAWAII
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 200 NORTH VINEYARD BLVD SUITE B 270
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-215-7755
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Fax | 808-744-3639
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Provider Business Mailing Address
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Address Line | PO BOX 17803
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-215-7755
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Fax | 808-744-3639
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | ANNETTE CHEW
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Credential | MFT, BCBS, LBA
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Telephone | 808-454-3146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-426
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA-105
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License Number State | HI
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