Provider Demographics
NPI:1760106215
Name:CRONIN, ERIN MARIE (MED, BCBA, LBA)
Entity Type:Individual
Prefix:MS
First Name:ERIN MARIE
Middle Name:
Last Name:CRONIN
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
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 458
Mailing Address - Street 2:
Mailing Address - City:HAWI
Mailing Address - State:HI
Mailing Address - Zip Code:96719-0458
Mailing Address - Country:US
Mailing Address - Phone:808-896-1767
Mailing Address - Fax:
Practice Address - Street 1:54-3609 AKONI PULE HIGHWAY
Practice Address - Street 2:
Practice Address - City:KAPAAU
Practice Address - State:HI
Practice Address - Zip Code:96755
Practice Address - Country:US
Practice Address - Phone:808-896-1767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA-584103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst