AUTISM BEHAVIOR CONSULTING GROUP, INC (NPI# 1639401375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639401375 |
| Entity Type | Organization |
| Organization Name | AUTISM BEHAVIOR CONSULTING GROUP, INC |
| Practice Address |
66-434 Kamehameha Highway Haleiwa HI 96712 |
| Mailing Address |
Po Box 1162 Waialua HI 96791-1162 |
| Practice Telephone | 8082777736 |
| Practice Fax Number | 8087480202 |
| Mailing Telephone | 8086377736 |
| Mailing Fax Number | 8087480202 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | AMY WIECH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8082777736 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1041581 | HI | Agencies |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 1041581 | HI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 1245426865 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023453701 | Autism Behavior Consulting Group, Inc | Community/Behavioral Health | 99-950 Iwaena St Fl 2, Aiea, HI 96701-5645 | 2013-05-07 |
| Street Address |
66-434 KAMEHAMEHA HIGHWAY |
| City | HALEIWA |
| State | HI |
| Zip Code | 96712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
| 1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
| 1740722198 | Holdsambeck & Associates | Behavioral Analyst | 66-437 Kamehameha Hwy #95, Suite 300, Haleiwa, HI 96712 | 2016-11-15 |
| 1902264955 | Haleiwa Physical Therapy LLC | Clinic/Center | 66-590 Kamehameha Hwy Ste. 2f, Haleiwa, HI 96712 | 2016-02-05 |
| 1215348230 | Haleiwa Chiropractic Clinic, Inc. | Chiropractor | 66-560 Kamehameha Hwy., Suite 5, Haleiwa, HI 96712 | 2014-05-13 |
| 1972931517 | Julie Elersich | Massage Therapist | 66-008 A Kamehemeha Hwy, Haleiwa, HI 96712 | 2013-10-17 |
| 1235466848 | Paula Suzanne Cole | Acupuncturist | 59-229b Ke Nui Road, Haleiwa, HI 96712 | 2009-11-03 |
| 1942435441 | Dawn Kiyomi Kuriyama | Family Medicine | 66125 Kamehameha Hwy, Haleiwa, HI 96712 | 2009-05-27 |
| 1730345190 | Waikiki Health Center | Clinic/Center | 66-090 Kamehameha Hwy, Queen Liluokalani Protestant Church, Haleiwa, HI 96712 | 2008-08-04 |
| 1225248792 | Kenda Lee Mohica | Counselor | 59-518 Alapio Rd. Apt. A, Haleiwa, HI 96712 | 2007-05-23 |
| Find all providers in zip 96712 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912359316 | Independent Speech Pathology Network | Day Training, Developmentally Disabled Services | 140 Kolekona Pl, Kapaa, HI 96746-9370 | 2016-07-08 |
| 1215321112 | Chanelle Lynn Puallilia Key | Day Training, Developmentally Disabled Services | 2221 Anianiku St, Honolulu, HI 96813-1406 | 2015-03-27 |
| 1174954374 | Laura Ann Stirling | Day Training, Developmentally Disabled Services | 91-5007 Kapolei Pkwy, Kapolei, HI 96707-3201 | 2013-12-12 |
| 1043645021 | Alternative Structures International | Day Training, Developmentally Disabled Services | 86-660 Lualualei Homestead Rd, Waianae, HI 96792-2730 | 2013-09-09 |
| 1821342981 | S.t.e.p.s., LLC | Day Training, Developmentally Disabled Services | 515 Ulumawao St, Kailua, HI 96734-4333 | 2012-10-28 |
| 1205108461 | Hale Nui Community Services, Inc. | Day Training, Developmentally Disabled Services | 67-292 Goodale Ave, #a6, Waialua, HI 96791-9664 | 2012-02-03 |
| 1457620650 | Kona Association for Retarded Citizens | Day Training, Developmentally Disabled Services | 81-1065 Konawaena School Road, Kealakekua, HI 96750-8121 | 2011-12-19 |
| 1912275819 | Family Services of Oahu,llc | Day Training, Developmentally Disabled Services | 94-078 Leokane St, Waipahu, HI 96797-2259 | 2011-12-06 |
| 1538437645 | Ohana Support Services LLC | Day Training, Developmentally Disabled Services | 94-126 Kaupu Pl, Waipahu, HI 96797-3800 | 2011-12-02 |
| 1194011635 | Wai Ola O Hina | Day Training, Developmentally Disabled Services | Kamoi Street 2, Suite 400, Kaunakakai, HI 96748-1539 | 2011-06-23 |
| Find all providers with the same taxonomy | ||||
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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.