Provider Demographics
NPI:1790516896
Name:UDLER, PAUL (RBT)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:UDLER
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 1:1768 HOOLANA ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1638
Mailing Address - Country:US
Mailing Address - Phone:646-678-0010
Mailing Address - Fax:
Practice Address - Street 1:1311 PARKS RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2131
Practice Address - Country:US
Practice Address - Phone:646-678-0010
Practice Address - Fax:646-678-0010
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician