Provider Demographics
NPI:1114726890
Name:BARRY, GRACE LOKELANI
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:LOKELANI
Last Name:BARRY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 MAKIKI ST APT B302
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-4434
Mailing Address - Country:US
Mailing Address - Phone:541-224-1384
Mailing Address - Fax:
Practice Address - Street 1:203 KAPAA QUARRY PL #5002
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:297-380-8247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician