MEDICARE: MCKENNA MORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-20-134795	HI
2	103K00000X	Behavior Analyst	1-24-74298	HI

General Provider Information

NPI Number	:	1023618386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKENNA MORGAN

Provider Business Mailing Address
First Line	:	2969 MAPUNAPUNA PL STE 200
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-2000
Country	:	US
Telephone Number	:	808-277-7736
Fax Number	:

Provider Business Practice Location Address
First Line	:	2969 MAPUNAPUNA PL STE 200
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-2000
Country	:	US
Telephone Number	:	808-277-7736
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	12/10/2025

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Directions to “ MCKENNA MORGAN ” Practice Location

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