Provider Demographics
NPI:1225816556
Name:ROZMESKI, CAYLYN
Entity Type:Individual
Prefix:
First Name:CAYLYN
Middle Name:
Last Name:ROZMESKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-203 AINAKUAI PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4223
Mailing Address - Country:US
Mailing Address - Phone:808-439-7963
Mailing Address - Fax:
Practice Address - Street 1:95-203 AINAKUAI PL
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-4223
Practice Address - Country:US
Practice Address - Phone:808-439-7963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician