Provider Demographics
NPI:1194432542
Name:MABALOT, JOURNEY (RBT)
Entity type:Individual
Prefix:
First Name:JOURNEY
Middle Name:
Last Name:MABALOT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 LAWELAWE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1770
Mailing Address - Country:US
Mailing Address - Phone:808-681-2718
Mailing Address - Fax:855-975-2866
Practice Address - Street 1:944 LAWELAWE ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1770
Practice Address - Country:US
Practice Address - Phone:808-681-2718
Practice Address - Fax:855-975-2866
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician