Provider Demographics
NPI:1386137529
Name:AGOY, DENNIS A (RBT)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:A
Last Name:AGOY
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 WAI WAI PL
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8178
Mailing Address - Country:US
Mailing Address - Phone:808-575-2954
Mailing Address - Fax:
Practice Address - Street 1:2680 WAI WAI PL
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8178
Practice Address - Country:US
Practice Address - Phone:808-575-2954
Practice Address - Fax:808-874-8192
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1922405026OtherHORIZONS ACADEMY OF MAUI