Provider Demographics
NPI:1285371179
Name:YEUNG, JONI C
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:C
Last Name:YEUNG
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 1:2916 DATE ST APT 9G
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1186
Mailing Address - Country:US
Mailing Address - Phone:808-387-8151
Mailing Address - Fax:
Practice Address - Street 1:2916 DATE ST APT 9G
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-1186
Practice Address - Country:US
Practice Address - Phone:808-387-8151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician