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NPI Code Detail

MEDICARE: MS. MAKILA RAE SMITH

MEDICARE: MS. MAKILA RAE SMITH
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
1106S00000XBehavior TechnicianHI

General Provider Information

NPI Number : 1437034220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAKILA RAE SMITH
Provider Business Mailing Address
First Line : 85-150 ALA HEMA ST APT B
Second Line :
City : WAIANAE
State : HI
Zip : 96792-2413
Country : US
Telephone Number : 808-783-1562
Fax Number :
Provider Business Practice Location Address
First Line : 1390 MILLER ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2493
Country : US
Telephone Number : 808-586-3230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2025
Last Update Date : 08/13/2025

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Directions to “ MS. MAKILA RAE SMITH ” Practice Location

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