Provider Demographics
NPI:1831454057
Name:MACHOS, KYLE BRANDON (BCBA)
Entity type:Individual
Prefix:MR
First Name:KYLE
Middle Name:BRANDON
Last Name:MACHOS
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-736 AKAKOA PL # 2
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-5001
Mailing Address - Country:US
Mailing Address - Phone:084-830-0580
Mailing Address - Fax:
Practice Address - Street 1:330 ULUNIU ST STE 103
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2541
Practice Address - Country:US
Practice Address - Phone:808-429-4151
Practice Address - Fax:808-443-0708
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA-68103K00000X
TX0-12-4459103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst