MICHELLE THORSTAD (NPI# 1396254801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396254801 |
| Entity Type | Individual |
| Full Name | MICHELLE THORSTAD |
| Credential | RBT |
| Practice Address |
247 Beach Walk Honolulu HI 96815-1995 |
| Mailing Address |
247 Beach Walk 203 Honolulu HI 96815-1995 |
| Practice Telephone | 3125608793 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2019-06-11 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 16-16835 | 01 |
| Street Address |
247 BEACH WALK |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| 1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
| 1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
| 1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
| 1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
| Find all providers in zip 96815 | ||||
| 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.