Provider Demographics
NPI:1982493433
Name:BARBOSA-HERNANDEZ, HELLEN SIRLEA
Entity type:Individual
Prefix:
First Name:HELLEN
Middle Name:SIRLEA
Last Name:BARBOSA-HERNANDEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:HELLEN
Other - Middle Name:SIRLEA
Other - Last Name:BARBOSA SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4542 MOYER ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-7524
Mailing Address - Country:US
Mailing Address - Phone:843-480-2266
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:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-25-430495106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician