Organization
ISLAND BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA UEYAMA PAY.D. BCBA-D (EXECUTIVE DIRECTOR)
(808) 628-0348
Entity
Organization
Contact information
Practice address
92-1224 OLANI ST APT 3, KAPOLEI, HI 96707
(808) 628-0348
Mailing address
590 FARRINGTON HWY UNIT 524, KAPOLEI, HI 96707-2034
(808) 800-1195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
211
HI
Other
Enumeration date
03/20/2018
Last updated
07/16/2018
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