Provider Demographics
NPI:1831520501
Name:MILLER, RACHEL YUKIKO (MS BCBA)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:YUKIKO
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 HOLOKAHANA LN
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3013
Mailing Address - Country:US
Mailing Address - Phone:808-440-5190
Mailing Address - Fax:808-440-5195
Practice Address - Street 1:518 HOLOKAHANA LN
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3013
Practice Address - Country:US
Practice Address - Phone:808-440-5190
Practice Address - Fax:808-440-5195
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1-13-14876103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst