Provider Demographics
NPI:1679262687
Name:AMADO-SARANILLIO, CHRISTAL CEFERINA
Entity Type:Individual
Prefix:MS
First Name:CHRISTAL
Middle Name:CEFERINA
Last Name:AMADO-SARANILLIO
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 1:574 LAUIKI ST APT A1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5145
Mailing Address - Country:US
Mailing Address - Phone:808-366-1223
Mailing Address - Fax:
Practice Address - Street 1:203 KAPAA QUARRY PL.
Practice Address - Street 2:#5002
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-247-2973
Practice Address - Fax:808-427-3472
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician