| Maui Behavioral Therapy, Llc | |
|
1081 Kokomo Rd Haiku HI 96708-5006 | |
| (631) 664-8362 | |
| Not Available |
| Full Name | Maui Behavioral Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1081 Kokomo Rd, Haiku, Hawaii |
| Authorized Official Name and Position | Alex Samson (OWNER/ BEHAVIOR ANALYST) |
| Authorized Official Contact | 6316648362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Behavioral Therapy, Llc 1081 Kokomo Rd Haiku HI 96708-5006 Ph: (631) 664-8362 | Maui Behavioral Therapy, Llc 1081 Kokomo Rd Haiku HI 96708-5006 Ph: (631) 664-8362 |
| NPI Number | 1043084569 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043084569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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