Individual
SHAWNA UEYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA-D
Contact information
Practice address
590 FARRINGTON HWY UNIT 524, KAPOLEI, HI 96707-2034
(808) 628-0348
Mailing address
590 FARRINGTON HWY UNIT 524, KAPOLEI, HI 96707-2034
(808) 628-0348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
211
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
626467
MHN PROVIDER ID (TRICARE)
—
Enumeration date
03/12/2018
Last updated
07/17/2018
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