Provider Demographics
NPI:1396155925
Name:KEIKI EDUCATIONAL CONSULTANTS, INC.
Entity type:Organization
Organization Name:KEIKI EDUCATIONAL CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:808-298-2658
Mailing Address - Street 1:67-216 NIUMALOO PL
Mailing Address - Street 2:
Mailing Address - City:WAIALUA
Mailing Address - State:HI
Mailing Address - Zip Code:96791-9507
Mailing Address - Country:US
Mailing Address - Phone:808-298-2658
Mailing Address - Fax:808-637-5960
Practice Address - Street 1:67-216 NIUMALOO PL
Practice Address - Street 2:
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791-9507
Practice Address - Country:US
Practice Address - Phone:808-298-2658
Practice Address - Fax:808-637-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01-08-4140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty