Provider Demographics
NPI:1952952624
Name:KULUKULUALANI-ASCINO, MAHEALANI KAUKAIWA
Entity Type:Individual
Prefix:
First Name:MAHEALANI
Middle Name:KAUKAIWA
Last Name:KULUKULUALANI-ASCINO
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:PO BOX 880922
Mailing Address - Street 2:
Mailing Address - City:PUKALANI
Mailing Address - State:HI
Mailing Address - Zip Code:96788-0922
Mailing Address - Country:US
Mailing Address - Phone:808-495-7107
Mailing Address - Fax:
Practice Address - Street 1:810 HAIKU RD STE 244
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-4801
Practice Address - Country:US
Practice Address - Phone:808-575-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician