Provider Demographics
NPI:1992468177
Name:GEIMER, ERIC (MED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:GEIMER
Suffix:
Gender:M
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 RICHARDS ST APT 703
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4617
Mailing Address - Country:US
Mailing Address - Phone:808-688-6996
Mailing Address - Fax:
Practice Address - Street 1:700 RICHARDS ST APT 703
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4617
Practice Address - Country:US
Practice Address - Phone:808-688-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-21-169815106S00000X
HIBA-781-0103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician