Provider Demographics
NPI:1649987033
Name:NAIHE, JORDAN (RBT)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:NAIHE
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6992
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-6992
Mailing Address - Country:US
Mailing Address - Phone:808-748-1205
Mailing Address - Fax:
Practice Address - Street 1:67-1225 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8429
Practice Address - Country:US
Practice Address - Phone:808-887-7640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2023-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician