Provider Demographics
NPI:1295357978
Name:WINTON-DIGGS, BRHIANNON LYNNAE
Entity type:Individual
Prefix:
First Name:BRHIANNON
Middle Name:LYNNAE
Last Name:WINTON-DIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRHIANNON
Other - Middle Name:LYNNAE
Other - Last Name:WINTON-DIGGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:98-1657 HOOLAUAE ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-1802
Mailing Address - Country:US
Mailing Address - Phone:505-610-7348
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?:No
Enumeration Date:2020-05-15
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician