Provider Demographics
NPI:1346857125
Name:ONORATO, MIA
Entity Type:Individual
Prefix:MS
First Name:MIA
Middle Name:
Last Name:ONORATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MOUYLIM
Other - Middle Name:
Other - Last Name:CHHOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BEHAVIOR ANALYST
Mailing Address - Street 1:564 SOUTH ST.
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:564 SOUTH ST.
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:UM
Practice Address - Phone:808-591-1173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-19-19357103K00000X
19-91357106S00000X
171W00000X
HIBA-834103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171W00000XOther Service ProvidersContractor