Provider Demographics
NPI:1891540852
Name:DENNARD, ARIANNA SATIN
Entity type:Individual
Prefix:MRS
First Name:ARIANNA
Middle Name:SATIN
Last Name:DENNARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ARIANNA
Other - Middle Name:SATIN
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:126 MOON CT UNIT 102
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-6758
Mailing Address - Country:US
Mailing Address - Phone:757-679-7820
Mailing Address - Fax:
Practice Address - Street 1:1001 KAMOKILA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2096
Practice Address - Country:US
Practice Address - Phone:808-591-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-24-342302106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician