Provider Demographics
NPI:1003691908
Name:YOSHIMOTO, MELISSA KRAMER (MED, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KRAMER
Last Name:YOSHIMOTO
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2826 MANOA RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1751
Mailing Address - Country:US
Mailing Address - Phone:808-351-9826
Mailing Address - Fax:
Practice Address - Street 1:2826 MANOA RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1751
Practice Address - Country:US
Practice Address - Phone:808-351-9826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA-164103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst