Provider Demographics
NPI:1881209781
Name:WOESTMAN, CASIE ALOHILANI CALIP
Entity Type:Individual
Prefix:MRS
First Name:CASIE ALOHILANI
Middle Name:CALIP
Last Name:WOESTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CASIE ALOHILANI
Other - Middle Name:TOLEDO
Other - Last Name:CALIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:355 AOLOA ST APT L202
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3037
Mailing Address - Country:US
Mailing Address - Phone:253-732-8269
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:808-741-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBACB626770106E00000X
HI20-141007106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician