Provider Demographics
NPI:1588354369
Name:ALOHA BEHAVIORAL CONSULTING LLC
Entity type:Organization
Organization Name:ALOHA BEHAVIORAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-850-0380
Mailing Address - Street 1:68-3924 EHU KAI LOOP UNIT 3201
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-5284
Mailing Address - Country:US
Mailing Address - Phone:954-850-0380
Mailing Address - Fax:
Practice Address - Street 1:68-3924 EHU KAI LOOP UNIT 3201
Practice Address - Street 2:
Practice Address - City:WAIKOLOA
Practice Address - State:HI
Practice Address - Zip Code:96738-5284
Practice Address - Country:US
Practice Address - Phone:954-850-0380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty