MISS KELLEY MARTIN (NPI# 1154820520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154820520 |
| Entity Type | Individual |
| Full Name | MISS KELLEY MARTIN |
| Practice Address |
1253 S Beretania St Ste 2710 Honolulu HI 96814-1822 |
| Practice Telephone | 4125820296 |
| Mailing Telephone | 4125820296 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-47186 | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841384443 | Kelley N Martin | Nurse Practitioner | 218 East Main Street, Florence, MS 39073 | 2006-10-03 |
| 1194817643 | Kelley Martin | Occupational Therapist | 1849 Tate Blvd Se, Hickory, NC 28602 | 2006-09-29 |
| 1427686849 | Kelley Ann Martin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-03-31 |
| 1467003681 | Kelley Martin | Audiologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2019-09-28 |
| Street Address |
1253 S BERETANIA ST STE 2710 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891200044 | Laynette Ahsing | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2017-12-11 |
| 1275004137 | Christopher Kimura | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2018-12-17 |
| 1548753643 | Lucas J Montero | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814 | 2018-06-13 |
| 1457844557 | Lindesy A Garcia | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2018-06-13 |
| 1063911436 | Jazlyn Turner | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2018-02-12 |
| 1952817819 | James Heberling | Behavioral Analyst | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2017-12-14 |
| 1124534086 | Amy Partridge | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2017-12-14 |
| 1225544190 | John Clark | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2017-12-14 |
| 1770099640 | Pamela Dusza | Assistant Behavior Analyst | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2017-12-14 |
| 1922513936 | Jordan Spinak | Behavior Technician | 1253 S Beretania St Ste 2710, Honolulu, HI 96814-1822 | 2017-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| 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.