MEDICARE: CHRISTINA MAHEALANI PACHECO

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	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst	BA-606-0	HI

General Provider Information

NPI Number	:	1588158547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MAHEALANI PACHECO

Provider Business Mailing Address
First Line	:	91-114 HAIEA PL
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-3952
Country	:	US
Telephone Number	:	808-753-6431
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-679 FORT WEAVER RD
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-2561
Country	:	US
Telephone Number	:	808-633-4089
Fax Number	:

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

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	08/21/2025

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Directions to “ CHRISTINA MAHEALANI PACHECO ” Practice Location

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