Provider Demographics
NPI:1568051290
Name:HOWARD-HINKSTON, CATRIANA RENEE
Entity type:Individual
Prefix:
First Name:CATRIANA
Middle Name:RENEE
Last Name:HOWARD-HINKSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 N VINEYARD BLVD # 6-205
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3636
Mailing Address - Country:US
Mailing Address - Phone:650-743-5956
Mailing Address - Fax:
Practice Address - Street 1:357 N VINEYARD BLVD # 6-205
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3636
Practice Address - Country:US
Practice Address - Phone:650-743-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-17
Last Update Date:2024-07-25
Deactivation Date:2024-04-24
Deactivation Code:
Reactivation Date:2024-07-25
Provider Licenses
StateLicense IDTaxonomies
106S00000X
HIRBT-21-154661106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician