SearchHawaii103K00000X

Caetlen Mandeville, BCBA

NPI 1407346737 · on the registry since 2018

Practice

Address
94-849 Lumiaina St Unit 201
Waipahu, HI 96797
Phone
(855) 223-7123
Organisation at this address
Jaco Rehab Waikele Llc
Pacific Retina Care. Llc
Ka Wai Ola Family Medical Clinic, Llc
Ka Wai Ola Family Medical Clinic, Llc
Jaco Rehab Waikele Limited Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address
377

Additional practice sites

  • 1330 Quail Lake Loop Ste 120, Colorado Springs, CO
  • 465 S Newport Way, Denver, CO

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103K00000X
Licence states on file
CO, HI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-18

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