Provider Demographics
NPI:1932688165
Name:BEHAVIOR ANALYSIS AND FAMILY THERAPY CENTER OF HAWAII
Entity Type:Organization
Organization Name:BEHAVIOR ANALYSIS AND FAMILY THERAPY CENTER OF HAWAII
Other - Org Name:BAFT CENTER OF HI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEW
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, BCBS, LBA
Authorized Official - Phone:808-454-3146
Mailing Address - Street 1:PO BOX 17803
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-215-7755
Mailing Address - Fax:808-744-3639
Practice Address - Street 1:200 NORTH VINEYARD BLVD
Practice Address - Street 2:SUITE B 270
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-215-7755
Practice Address - Fax:808-744-3639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA-105103K00000X
HIMFT-426106H00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty