Provider Demographics
NPI:1487333936
Name:BARONE, ALVIN JAMES JR
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:JAMES
Last Name:BARONE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 KAMAKOI LOOP
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-7100
Mailing Address - Country:US
Mailing Address - Phone:412-370-8259
Mailing Address - Fax:
Practice Address - Street 1:320 KULALANI DR
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-8227
Practice Address - Country:US
Practice Address - Phone:808-280-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-23-282776106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician