Provider Demographics
NPI:1164253571
Name:FELIPE, JHENNAI YUKIKO FRANCES
Entity type:Individual
Prefix:
First Name:JHENNAI
Middle Name:YUKIKO FRANCES
Last Name:FELIPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 METCALF ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2437
Mailing Address - Country:US
Mailing Address - Phone:808-230-4671
Mailing Address - Fax:
Practice Address - Street 1:2236 METCALF ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2437
Practice Address - Country:US
Practice Address - Phone:808-230-4671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-24-364429106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician