Provider Demographics
NPI:1720826829
Name:ROBINSON, MATOYA (RBT)
Entity type:Individual
Prefix:MS
First Name:MATOYA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MS
Other - First Name:MATTIE
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:427 ALA MAKANI ST STE 200
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3571
Mailing Address - Country:US
Mailing Address - Phone:808-204-2893
Mailing Address - Fax:
Practice Address - Street 1:427 ALA MAKANI ST STE 200
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3571
Practice Address - Country:US
Practice Address - Phone:808-204-2893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician