CRYSTAL PENA (NPI# 1003306341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003306341 |
| Entity Type | Individual |
| Full Name | CRYSTAL PENA |
| Practice Address |
3748 Kumukoa Pl Honolulu HI 96822-1106 |
| Mailing Address |
4510 Salt Lake Blvd Ste D8 Honolulu HI 96818-3172 |
| Practice Telephone | 8089884713 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871064436 | Crystal Hustad Pena | Nurse Practitioner | 3440 Lomita Blvd Ste 240, Torrance, CA 90505-4871 | 2018-12-07 |
| 1710296785 | Crystal Louise Pena | Midwife | 1220 N Spencer Ste 200, Mesa, AZ 85203-4300 | 2010-09-24 |
| 1376108639 | Crystal Pena | Physical Therapy Assistant | 4277 65th Pl, Woodside, NY 11377-5054 | 2019-05-02 |
| Street Address |
3748 KUMUKOA PL |
| City | HONOLULU |
| State | HI |
| Zip Code | 96822-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
| 1881152916 | Talaivosa Moala | Nurse's Aide | 1929-a Wilder Avenue, Honolulu, HI 96822 | 2019-03-07 |
| 1720505761 | Nalani Cook | Physical Therapist | 3577 Pinao Street, Unit 48, Honolulu, HI 96822 | 2017-08-29 |
| 1568986230 | Aaron Michael Neis | Student in an Organized Health Care Education/Training Program | 2444 Dole Street, Krauss Hall 23, Honolulu, HI 96822 | 2017-08-03 |
| 1568985448 | Tommie Mitsuko Yamamoto | Student in an Organized Health Care Education/Training Program | 2530 Dole Street, Sakamaki C 400, Honolulu, HI 96822 | 2017-07-21 |
| 1568997005 | Wade Yamasaki | Specialist/Technologist | 1337 Lower Campus Road, Honolulu, HI 96822 | 2017-04-21 |
| 1699123067 | Elyssa Nakanishi | Technician, Other | 1330 Wilder Ave Apt 319, Honolulu, HI 96822 | 2016-05-26 |
| 1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
| 1982081139 | Virginia Huntley | Physical Therapist | 3588a Woodlawn Drive, Honolulu, HI 96822 | 2015-04-27 |
| Find all providers in zip 96822 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1063011492 | Jiane Nicole Bagoyo | Behavior Technician | 1037 Matzie Ln, Honolulu, HI 96817-2826 | 2020-10-17 |
| 1831797877 | Na Pan | Behavior Technician | 988 Halekauwila St Apt 3608, Honolulu, HI 96814-4059 | 2020-10-12 |
| 1316545569 | Denver Dellalucia | Behavior Technician | 1324 Saint Louis Dr, Honolulu, HI 96816-1724 | 2020-10-10 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1669082111 | Rui Huang Chen | Behavior Technician | 1918 Naio St, Honolulu, HI 96817-2047 | 2020-08-08 |
| 1750991535 | Easter O Almuena | Behavior Technician | 2118 Halina St, Honolulu, HI 96819-2816 | 2020-08-05 |
| 1821607904 | Jenna Sohee Park | Behavior Technician | 5070 Likini St Apt 911, Honolulu, HI 96818-2373 | 2020-07-24 |
| 1386262749 | Maia Nicole Angell | Behavior Technician | 615 Piikoi St Ste 601, Honolulu, HI 96814-3176 | 2020-07-10 |
| 1124645346 | Dory Joy Gillikin | Behavior Technician | 1419 Dominis St Apt 1203, Honolulu, HI 96822-3229 | 2020-07-03 |
| 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.