Provider Demographics
NPI:1386395176
Name:COLOMA, OLIVER WILLIAM I (RBT)
Entity type:Individual
Prefix:MR
First Name:OLIVER
Middle Name:WILLIAM
Last Name:COLOMA
Suffix:I
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 1:660 KIPUKA DR
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2910
Mailing Address - Country:US
Mailing Address - Phone:808-221-4901
Mailing Address - Fax:
Practice Address - Street 1:660 KIPUKA DR
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2910
Practice Address - Country:US
Practice Address - Phone:808-221-4901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician