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NPI Code Detail

MEDICARE: TIA-MARIE HELENA KAILIALOHA MAKAINAI

MEDICARE: TIA-MARIE HELENA KAILIALOHA MAKAINAI
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
1106E00000XAssistant Behavior Analyst0-25-16304HI
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1629642905
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIA-MARIE HELENA KAILIALOHA MAKAINAI
Provider Business Mailing Address
First Line : 420 WAIAKAMILO RD STE 202
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4950
Country : US
Telephone Number : 808-845-0102
Fax Number :
Provider Business Practice Location Address
First Line : 420 WAIAKAMILO RD STE 202
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4950
Country : US
Telephone Number : 808-845-0102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 07/23/2025

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Directions to “ TIA-MARIE HELENA KAILIALOHA MAKAINAI ” Practice Location

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