Organization
IMI OLA AUTISM SERVICES
Active
Other names
Imi Ola Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARYN K AWANA-SCANLAN M.A., BCBA (EXECUTIVE DIRECTOR)
(808) 979-1824
Entity
Organization
Contact information
Practice address
590 FARRINGTON HWY, #524-225, KAPOLEI, HI 96707-2009
(808) 979-1824
Mailing address
590 FARRINGTON HWY, #524-225, KAPOLEI, HI 96707-2009
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BA-78
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-17089
BEHAVIOR ANALYST CERTIFICATION BOARD
HI
01
—
BA-78
STATE OF HAWAII
HI
Enumeration date
07/20/2016
Last updated
07/20/2016
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