Search › Hawaii › 103K00000X
Stacey Shinn, BCBA
NPI 1043702905 · on the registry since 2018 · sole proprietor
Practice
- Address
- 500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813 - Phone
- (808) 501-1300
- Fax
- (855) 892-0299
- Organisation at this address
- Ndc Md Inc
Dtg Ii Pllc
Lw Care Llc
Pharmal Llc
Kahak Hi IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 313
Additional practice sites
- 3322 Noe Way Apt 1, Louisville, KY
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
103K00000X - Licence states on file
- WA, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii