Provider Demographics
NPI:1487326609
Name:RAMOS, BRAYDEN AKT (MA)
Entity type:Individual
Prefix:
First Name:BRAYDEN
Middle Name:AKT
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:KALEO
Other - Middle Name:AKT
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-0021
Mailing Address - Country:US
Mailing Address - Phone:808-937-4009
Mailing Address - Fax:
Practice Address - Street 1:1330 ALA MOANA BLVD STE 1
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4262
Practice Address - Country:US
Practice Address - Phone:808-585-1424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health