Provider Demographics
NPI:1649004961
Name:VARNEY, SASHA AYA
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:AYA
Last Name:VARNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 S KUKUI ST APT 1805
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2322
Mailing Address - Country:US
Mailing Address - Phone:808-304-6261
Mailing Address - Fax:
Practice Address - Street 1:420 WAIAKAMILO RD STE 202
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4950
Practice Address - Country:US
Practice Address - Phone:808-304-6261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician