Provider Demographics
NPI:1083253314
Name:MALUNAY, MEAGAN MAHINA (RBT)
Entity Type:Individual
Prefix:MS
First Name:MEAGAN
Middle Name:MAHINA
Last Name:MALUNAY
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 1:94-1484 LANIKUHANA AVE APT 515
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2463
Mailing Address - Country:US
Mailing Address - Phone:808-757-6337
Mailing Address - Fax:
Practice Address - Street 1:91-1180 MIDWAY RD
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707
Practice Address - Country:US
Practice Address - Phone:808-927-5781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician