MARISA GOEPPNER (NPI# 1326654252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326654252 |
| Entity Type | Individual |
| Full Name | MARISA GOEPPNER |
| Credential | RBT |
| Practice Address |
4510 Salt Lake Blvd Ste D8 Honolulu HI 96818-3172 |
| Mailing Address |
1661 Lima St Honolulu HI 96819-2657 |
| Practice Telephone | 8084861804 |
| Mailing Telephone | 5082165331 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| 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 |
| 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 |
| 1679103329 | Zachary Castillo Belmonte | Behavior Technician | 4510 Salt Lake Blvd Ste D8, Honolulu, HI 96818-3172 | 2020-01-22 |
| 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 | 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.