Provider Demographics
NPI:1518710938
Name:FOSTER ALOHA LLC
Entity type:Organization
Organization Name:FOSTER ALOHA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:EARLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BA, BCBA
Authorized Official - Phone:330-265-1973
Mailing Address - Street 1:333 HAUMANA RD
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5936
Mailing Address - Country:US
Mailing Address - Phone:330-265-1973
Mailing Address - Fax:
Practice Address - Street 1:333 HAUMANA RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5936
Practice Address - Country:US
Practice Address - Phone:330-265-1973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health