Provider Demographics
NPI:1700480746
Name:KAWAKAMI, SHARICE NOHEA
Entity Type:Individual
Prefix:
First Name:SHARICE
Middle Name:NOHEA
Last Name:KAWAKAMI
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 1:1123F KAMEHAMEHA IV ROAD
Mailing Address - Street 2:UNIT 1129A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819
Mailing Address - Country:US
Mailing Address - Phone:808-398-0019
Mailing Address - Fax:
Practice Address - Street 1:1123F KAMEHAMEHA IV ROAD
Practice Address - Street 2:UNIT 1129A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819
Practice Address - Country:US
Practice Address - Phone:808-398-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician