Provider Demographics
NPI:1386442226
Name:ROBSON, TATIANA CHRISTINE
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:CHRISTINE
Last Name:ROBSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 385948
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-0948
Mailing Address - Country:US
Mailing Address - Phone:808-294-7096
Mailing Address - Fax:
Practice Address - Street 1:75-5919 WALUA RD
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1375
Practice Address - Country:US
Practice Address - Phone:808-556-3120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-25-410764106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician