Sandal Gap Comprehensive Services

NPI #1356066344 in Kailua, Hawaii

Provider Information

NPI Number: 1356066344
Entity Type: Organization
Organization Name: Sandal Gap Comprehensive Services
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 11, 2022
Last Updated: Mar 15, 2023

Practice Location

Address: 126 AIKAHI LOOP
City: Kailua
State: Hawaii
ZIP Code: 96734-1642
Phone: (808) 425-0195

Authorized Official

Name: NICOLE JOHNSON
Title: CEO
Phone: (808) 425-0195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychoanalyst	102L00000X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Behavior Technician	106S00000X
Community/Behavioral Health	251S00000X
Behavior Analyst	103K00000X	Primary

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