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Crystal Pena

Behavior Technician in Honolulu, HI. Individual provider (NPI-1).

NPI number1003306341
StatusActive
Last updated in NPPESMay 11, 2018

Details

NPI
1003306341
Entity type
Individual (NPI-1)
Name
Crystal Pena
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2018
Last updated
May 11, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–HIYes

Practice location

3748 Kumukoa Pl
Honolulu, HI 96822-1106

Phone 808-988-4713

Mailing address

4510 Salt Lake Blvd Ste D8
Honolulu, HI 96818-3172

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Honolulu, HI

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