JENNIFER MATSUMOTO (NPI# 1245797190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245797190 |
| Entity Type | Individual |
| Full Name | JENNIFER MATSUMOTO |
| Practice Address |
184 Anapalau St Honolulu HI 96825-1838 |
| Practice Telephone | 8083863941 |
| Mailing Telephone | 8083863941 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
184 ANAPALAU ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96825-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544616 | Greg Keast | Social Worker | 739 Kealahou Street, Honolulu, HI 96825 | 2020-06-30 |
| 1235606070 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 600 Kalanianaole Hwy, Suite 114a, Honolulu, HI 96825 | 2018-10-30 |
| 1376019927 | Victoria Liou-johnson | Clinical Neuropsychologist | 7192 Kalanianaole Hwy Ste A143a #264, Honolulu, HI 96825 | 2018-10-22 |
| 1518450527 | Wendy Lin Farah | Social Worker | 7192 Kalanianaole Highway, Suite A143a #276, Honolulu, HI 96825 | 2018-06-13 |
| 1699175125 | Kathy Akiyo Maemori | Speech-Language Pathologist | 418 Opihkao Pl, Honolulu, HI 96825 | 2014-09-03 |
| 1386994697 | Brian Alexander O'hara | Pediatrics | 6750 Hawaii Kai Drive #1208, Honolulu, HI 96825 | 2012-09-13 |
| 1356617112 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7192 Kalanianaole Hwy Ste C119, Honolulu, HI 96825 | 2012-03-27 |
| 1104065085 | Keith A. Vodzak | Dentist | 377 Keahole St., Suite #211, Honolulu, HI 96825 | 2009-02-17 |
| 1528219144 | Yoko Kokuni | Counselor | 340 Kawaihae St. #340f, Honolulu, HI 96825 | 2008-10-01 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| Find all providers in zip 96825 | ||||
| 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.