Provider Demographics
NPI:1346870417
Name:OSHIRO, CHERNELL AIKO LEILANI (RBT)
Entity Type:Individual
Prefix:MS
First Name:CHERNELL
Middle Name:AIKO LEILANI
Last Name:OSHIRO
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:PO BOX 377
Mailing Address - Street 2:
Mailing Address - City:HANAPEPE
Mailing Address - State:HI
Mailing Address - Zip Code:96716-0377
Mailing Address - Country:US
Mailing Address - Phone:808-651-0865
Mailing Address - Fax:
Practice Address - Street 1:3083 AKAHI ST STE 101
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1102
Practice Address - Country:US
Practice Address - Phone:808-245-5841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-19-106315106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician