Provider Demographics
NPI:1932980448
Name:KUPUKUPU CONSULTING HAWAII, LLC
Entity Type:Organization
Organization Name:KUPUKUPU CONSULTING HAWAII, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:808-300-9059
Mailing Address - Street 1:67-1185 MAMALAHOA HWY D104
Mailing Address - Street 2:#115
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743
Mailing Address - Country:US
Mailing Address - Phone:808-300-9059
Mailing Address - Fax:
Practice Address - Street 1:65-1692 KOHALA MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8476
Practice Address - Country:US
Practice Address - Phone:808-300-9059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty