Provider Demographics
NPI:1063023547
Name:BOX, DARLA JANEEN CARINO (LMHC, LBA, BCBA,CSAC)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:JANEEN CARINO
Last Name:BOX
Suffix:
Gender:F
Credentials:LMHC, LBA, BCBA,CSAC
Other - Prefix:
Other - First Name:DARLA
Other - Middle Name:CARINO
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LBA, BCBA,CSAC
Mailing Address - Street 1:95-1009 WEKIU ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3014
Mailing Address - Country:US
Mailing Address - Phone:808-797-7649
Mailing Address - Fax:
Practice Address - Street 1:95-1009 WEKIU ST
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3014
Practice Address - Country:US
Practice Address - Phone:808-426-0328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2006-18101YA0400X
VA0701012089101YP2500X
103K00000X
HIMHC-643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty