Provider Demographics
NPI:1639832033
Name:NAKATANI, PATRICIA (RBT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:NAKATANI
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 1:1545 HOOHAKU ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2941
Mailing Address - Country:US
Mailing Address - Phone:808-692-3661
Mailing Address - Fax:
Practice Address - Street 1:1545 HOOHAKU ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2941
Practice Address - Country:US
Practice Address - Phone:808-692-3661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician