Provider Demographics
NPI:1093289555
Name:MALUHIA ABA LLC
Entity Type:Organization
Organization Name:MALUHIA ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OKANO-DALERE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:808-292-3783
Mailing Address - Street 1:83 MAIKAI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5364
Mailing Address - Country:US
Mailing Address - Phone:808-664-4401
Mailing Address - Fax:
Practice Address - Street 1:83 MAIKAI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5364
Practice Address - Country:US
Practice Address - Phone:808-664-4401
Practice Address - Fax:808-443-0921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty