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NPI Code Detail

MEDICARE: PLATTER BEHAVIORAL CONSULTING

MEDICARE: PLATTER BEHAVIORAL CONSULTING
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
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251S00000XCommunity/Behavioral Health Agency
3261QD1600XDevelopmental Disabilities Clinic/Center
4103K00000XBehavior Analyst

General Provider Information

NPI Number : 1740931708
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLATTER BEHAVIORAL CONSULTING
Provider Business Mailing Address
First Line : 75-170 HUALALAI RD STE D212
Second Line :
City : KAILUA KONA
State : HI
Zip : 96740-1780
Country : US
Telephone Number : 928-208-6909
Fax Number :
Provider Business Practice Location Address
First Line : 75-170 HUALALAI RD STE D212
Second Line :
City : KAILUA KONA
State : HI
Zip : 96740-1780
Country : US
Telephone Number : 928-208-6909
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DUSTIN PLATTER
Credential :
Telephone Number : 928-208-6909
Provider Enumeration Date : 01/12/2022
Last Update Date : 11/07/2022

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1265705032 — MRS. LISA ANGELA STEINMUELLER APRN FNP-BC
Practice Location Address:
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Practice Fax: 808-329-0009

Directions to “PLATTER BEHAVIORAL CONSULTING ” Practice Location

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