Provider Demographics
NPI:1003533241
Name:AU HOON, LAUREN AUSTIN (RBT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:AUSTIN
Last Name:AU HOON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 383733
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-3733
Mailing Address - Country:US
Mailing Address - Phone:808-731-9963
Mailing Address - Fax:
Practice Address - Street 1:68-3502 KAPII PL (383733)
Practice Address - Street 2:
Practice Address - City:WAIKOLOA
Practice Address - State:HI
Practice Address - Zip Code:96738-9673
Practice Address - Country:US
Practice Address - Phone:808-731-9963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI22-226512106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician