JOHNNY CHAN (NPI# 1578914685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578914685 |
| Entity Type | Individual |
| Full Name | JOHNNY CHAN |
| Practice Address |
4510 Salt Lake Blvd Ste D8 Honolulu HI 96818-3172 |
| Practice Telephone | 8085916060 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0-16-7193 | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972732352 | Johnny Chan | Optometrist | 4010 172nd St, Arlington, WA 98223 | 2009-07-07 |
| 1881687846 | Johnny Pinghon Chan | Pharmacist | 3137 Jefferson Ave, Redwood City, CA 94062-2959 | 2005-08-25 |
| 1477804581 | Johnny Chan | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2012-09-28 |
| 1063796647 | Johnny Chung-yin Chan | Pharmacist | 6001 W Cheyenne Ave, Las Vegas, NV 89108-4205 | 2011-09-30 |
| Street Address |
4510 SALT LAKE BLVD STE D8 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96818-3172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952584203 | Caroline Viernes De Jesus | Behavioral Analyst | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2007-12-10 |
| 1134720956 | Brittany Cook | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-11-06 |
| 1003423187 | Kacey Allison Berberich | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-09-23 |
| 1326654252 | Marisa Goeppner | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-09-16 |
| 1568071959 | Ali Nakashima | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-07-30 |
| 1982213146 | Selena Roth | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-07-23 |
| 1750908596 | Joshua Cheng | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-06-27 |
| 1942825179 | Briana Tovio-asato | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-06-12 |
| 1447884119 | Jinky Sildora | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-03-02 |
| 1548892839 | Stephanie Therese Monroe | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
| 1497227979 | Melanie Fujii | Behavior Technician | 4510 Salt Lake Boulevard, Suite D-8, Honolulu, HI 96818 | 2018-12-21 |
| 1174016687 | Kerestin Elizabeth Walker | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96818 | 2018-06-08 |
| 1598272411 | Juli K Kaaihue | Behavior Technician | 4510 Salt Lake Blvd., D-8, Honolulu, HI 96818 | 2017-12-30 |
| 1861904864 | Joanna Wolford | Licensed Practical Nurse | 1514 Makalapa Drive, Apo, AA 96818 | 2017-10-30 |
| 1093232662 | Lorri Kim Gomes | Social Worker | 1147 Ala Napunani St., #206, Honolulu, HI 96818 | 2017-08-24 |
| 1871960278 | Cassandra Fisher | Speech-Language Pathologist | 202a Beard Ave, Honolulu, HI 96818 | 2015-09-01 |
| 1689073959 | Eanah Whaley | Psychologist | 750 Signer Blvd Bldg 554, Honolulu, HI 96818 | 2014-08-22 |
| 1346599214 | Hawaii Mobility | Durable Medical Equipment & Medical Supplies | 4355 Lawehana #8, Honolulu, HI 96818 | 2012-09-06 |
| 1326303181 | Evelyn Ogami-glary | Massage Therapist | 1780 Bougainvillea Lp, Physical Fitness Center Aliamanu Military Reservation, Honolulu, HI 96818 | 2012-07-09 |
| Find all providers in zip 96818 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441664 | Sarah Rosenfeld | Behavioral Analyst | 315 Sand Island Access Road, Honolulu, HI 96819-2295 | 2020-09-12 |
| 1952915845 | Chrtistian Silvia | Behavioral Analyst | 2059 Keeaumoku St, Honolulu, HI 96822-2527 | 2020-09-08 |
| 1538785787 | Jackie Chung | Behavioral Analyst | 1288 Kapiolani Blvd Apt 1802, Honolulu, HI 96814-2869 | 2020-06-23 |
| 1710516240 | Vincent Paul Lacson Baron | Behavioral Analyst | 1125 Young St Apt 606, Honolulu, HI 96814-1933 | 2020-04-06 |
| 1699301366 | Letesha Driskell | Behavioral Analyst | 7192 Kalanianaole Hwy Ste A143a, Honolulu, HI 96825-1849 | 2020-03-13 |
| 1538794201 | Ike Loa Therapeutic Services, Inc | Behavioral Analyst | 1604 Ohu St, Honolulu, HI 96819-3657 | 2020-03-03 |
| 1649812710 | Melissa Young | Behavioral Analyst | 1617 Clark St Apt 302, Honolulu, HI 96822-4803 | 2019-10-10 |
| 1962055491 | Jeffrey David Azzalina | Behavioral Analyst | 1 Keahole Pl Apt 3505, Honolulu, HI 96825-3425 | 2019-07-23 |
| 1093376337 | Shelby Bassili | Behavioral Analyst | 1243 Ala Kapuna St, Honolulu, HI 96819-1266 | 2019-06-26 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.