Provider Demographics
NPI:1629472212
Name:808 OHANA FIRST
Entity Type:Organization
Organization Name:808 OHANA FIRST
Other - Org Name:808 OHANA FIRST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAFFY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:808-226-1155
Mailing Address - Street 1:92-523 WAOKELE ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3401
Mailing Address - Country:US
Mailing Address - Phone:808-226-1155
Mailing Address - Fax:
Practice Address - Street 1:92-523 WAOKELE ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-3401
Practice Address - Country:US
Practice Address - Phone:808-226-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health