Organization
POSITIVE BEHAVIORAL INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOELLE ILIMA MEI-LIN RODRIGUEZ M.ED. BCBA (BEHAVIOR ANALYST)
(808) 779-3566
Entity
Organization
Contact information
Practice address
614 COOKE ST STE 205, HONOLULU, HI 96813-5251
(808) 779-3566
Mailing address
614 COOKE ST STE 205, HONOLULU, HI 96813-5251
(808) 779-3566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1118832
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851664957
TRICARE
HI
Enumeration date
11/17/2014
Last updated
11/17/2014
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