Provider Demographics
NPI:1245643188
Name:MAHALO SERVICES
Entity type:Organization
Organization Name:MAHALO SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:808-258-2375
Mailing Address - Street 1:41-838 MAHIKU PL
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1158
Mailing Address - Country:US
Mailing Address - Phone:808-258-2375
Mailing Address - Fax:
Practice Address - Street 1:41-838 MAHIKU PL
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1158
Practice Address - Country:US
Practice Address - Phone:808-258-2375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-12-10075252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency