Provider Demographics
NPI:1679953921
Name:BALINGIT, MARIA OMAYMA (BCBA)
Entity Type:Individual
Prefix:
First Name:MARIA OMAYMA
Middle Name:
Last Name:BALINGIT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 LOWER HONOAPIILANI RD # D
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-9388
Mailing Address - Country:US
Mailing Address - Phone:808-304-1855
Mailing Address - Fax:
Practice Address - Street 1:E 5 CAMP RD
Practice Address - Street 2:
Practice Address - City:PUUNENE
Practice Address - State:HI
Practice Address - Zip Code:96784-5216
Practice Address - Country:US
Practice Address - Phone:808-304-1755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-20739103K00000X, 253Z00000X
HI243103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No253Z00000XAgenciesIn Home Supportive Care