Provider Demographics
NPI:1790427573
Name:ESPEJO, ALOHALYN RAMIREZ
Entity Type:Individual
Prefix:MRS
First Name:ALOHALYN
Middle Name:RAMIREZ
Last Name:ESPEJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALOHALYN
Other - Middle Name:
Other - Last Name:ESPEJO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ALOHA
Mailing Address - Street 1:4510 SALT LAKE BLVD STE D8
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-3172
Mailing Address - Country:US
Mailing Address - Phone:808-486-2804
Mailing Address - Fax:
Practice Address - Street 1:95-2055 WAIKALANI PL APT B107
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-5113
Practice Address - Country:US
Practice Address - Phone:808-797-1473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI106S00000X103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst