Provider Demographics
NPI:1619521309
Name:HUGH-PENNIE, AMOY KITO (BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:AMOY
Middle Name:KITO
Last Name:HUGH-PENNIE
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:AMOY
Other - Middle Name:KIO
Other - Last Name:HUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41-611 INOAOLE ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1211
Mailing Address - Country:US
Mailing Address - Phone:808-892-4059
Mailing Address - Fax:
Practice Address - Street 1:41-611 INOAOLE ST
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1211
Practice Address - Country:US
Practice Address - Phone:808-892-4059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA-313103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst