Provider Demographics
NPI:1639886278
Name:NAKAMURA, CHRISTINA (RBT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:NAKAMURA
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 700118
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96709-0118
Mailing Address - Country:US
Mailing Address - Phone:808-490-1903
Mailing Address - Fax:
Practice Address - Street 1:85-220 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-2696
Practice Address - Country:US
Practice Address - Phone:808-305-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician