Provider Demographics
NPI:1083424220
Name:CHILD AUTISM AND NEURODEVELOPMENTAL EVALUATIONS LLP
Entity type:Organization
Organization Name:CHILD AUTISM AND NEURODEVELOPMENTAL EVALUATIONS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:KAY ROCCA
Authorized Official - Last Name:FUJIKI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-428-9401
Mailing Address - Street 1:91-1121 KEAUNUI DR
Mailing Address - Street 2:STE 108 PMB 240
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6365
Mailing Address - Country:US
Mailing Address - Phone:808-428-9401
Mailing Address - Fax:
Practice Address - Street 1:4840 KILAUEA AVE APT 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5716
Practice Address - Country:US
Practice Address - Phone:808-428-9401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty