Provider Demographics
NPI:1316673999
Name:AQUINO, MOANA ALSHLEY
Entity type:Individual
Prefix:
First Name:MOANA ALSHLEY
Middle Name:
Last Name:AQUINO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MOANA
Other - Middle Name:
Other - Last Name:AQUINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:876 CURTIS ST APT 1406
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5153
Mailing Address - Country:US
Mailing Address - Phone:808-797-7337
Mailing Address - Fax:
Practice Address - Street 1:2155 KALAKAUA AVE STE 701
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-2341
Practice Address - Country:US
Practice Address - Phone:808-501-2362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-22-232957106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician