Provider Demographics
NPI:1194066951
Name:HOGAN, ASHLEY N
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:HOGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-870 IWAENA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99-950 IWAENA ST
Practice Address - Street 2:STE. 2
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5645
Practice Address - Country:US
Practice Address - Phone:808-277-7736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
HI77103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst