Provider Demographics
NPI:1023641065
Name:MOA, TUAPA (BEHAVIOR SPECIALIST)
Entity type:Individual
Prefix:
First Name:TUAPA
Middle Name:
Last Name:MOA
Suffix:
Gender:F
Credentials:BEHAVIOR SPECIALIST
Other - Prefix:
Other - First Name:TUAPA
Other - Middle Name:
Other - Last Name:POHAHAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1025 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1189
Mailing Address - Country:US
Mailing Address - Phone:510-258-8120
Mailing Address - Fax:
Practice Address - Street 1:26100 GADING RD APT 604
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-3272
Practice Address - Country:US
Practice Address - Phone:510-221-3684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst