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Ken O Booth

Behavior Technician β€’ Kailua, HI

Active NPI 1841975786 Individual Practitioner Male Practitioner
Practice location in NPPES

203 Kapaa Quarry Pl, #5002
Kailua, HI 96734

Call 8082472973 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

203 Kapaa Quarry Pl
#5002

Kailua, HI 96734

Telephone 8082472973
Organization at the Same NPPES Address or Phone
Holding Space Inc. Facility NPI 1659061547

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kailua and Hawaii

323 active clinicians are listed under Behavior Technician with a practice address in Kailua, HI (5,324 in Hawaii).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kailua

0% of these 323 clinicians have the CMS telehealth indicator.

0% of these 323 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-25
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Licensed Psychiatric Technician

NUCC Taxonomy Code: 167G00000X

License # reported to NPPES CA PT37597

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Hawaii State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 27, 2025

Registered at 203 KAPAA QUARRY PL, #5002, KAILUA, HI 96734 (Tel: 8082472973)

πŸ“
Updated Business Mailing Address March 27, 2025

Registered at 203 KAPAA QUARRY PL, 5002, KAILUA, HI 96734 (Tel: 8082472973)

βœ…
NPI Profile Active June 19, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2023

Registered at 2101 COURAGE DR, FAIRFIELD, CA 945336717 (Tel: 7074281131)

πŸ“
Business Mailing Address (Initial Record) June 19, 2023

Registered at 2101 COURAGE DR, FAIRFIELD, CA 945336717 (Tel: 7074281131)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2023

Recorded as KEN BOOTH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Licensed Psychiatric Technician (license number reported to NPPES: CA PT37597)

🟒
Initial NPI Registration & Enumeration June 19, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841975786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2023
Last Update: March 27, 2025
Sole Proprietor: No

Mailing Address

203 Kapaa Quarry Pl, 5002

Kailua, HI 96734

Phone: 8082472973

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.