Provider Demographics
NPI:1932816485
Name:MURANAKA, MIKAYLA KAI PIILANI
Entity Type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:KAI PIILANI
Last Name:MURANAKA
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 1:585 QUARNO RD
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32927-4840
Mailing Address - Country:US
Mailing Address - Phone:808-746-4308
Mailing Address - Fax:
Practice Address - Street 1:2062 N COURTENAY PKWY
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4285
Practice Address - Country:US
Practice Address - Phone:321-305-5576
Practice Address - Fax:321-305-5646
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician