Provider Demographics
NPI:1578155446
Name:TOVIO-ASATO, BRAYLEE T
Entity Type:Individual
Prefix:
First Name:BRAYLEE
Middle Name:T
Last Name:TOVIO-ASATO
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 1:91-1067 OANIANI ST # 5A
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2617
Mailing Address - Country:US
Mailing Address - Phone:808-436-3359
Mailing Address - Fax:
Practice Address - Street 1:91-1067 OANIANI ST # 5A
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2617
Practice Address - Country:US
Practice Address - Phone:808-436-3359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIH01486034106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician