Hawaii saw 34 providers appear in the latest CMS NPI registry weekly update. This represents a negligible share of the national weekly total, indicating a smaller, more concentrated behavioral health workforce compared to other states. Of these, 21 providers were newly added this week, contributing to a year-to-date total of 23 new providers, suggesting a modest but steady growth in the state's behavioral health sector.
Credential Mix and Supervision Capacity
Among the individual providers, the data shows 3 BCBAs and 17 RBTs. The absence of dual BCBA+RBT credentials indicates distinct roles for these professionals. With a ratio of approximately 1 BCBA for every 5.67 RBTs, Hawaii exhibits a high ratio that could strain supervision capacity, a critical component for quality ABA service delivery. Additionally, the update included other behavioral health professionals such as 2 LCSWs, 1 MS, MSW, LCSW, 1 MSCP, 1 BEHAVIOR ANALYST, and 1 LMHC, reflecting a diverse but small pool of specialists.
Workforce Demographics
The workforce demographics show a clear gender imbalance, with 21 female providers accounting for 78% of individual registrants, while 6 male providers make up 22%. There were no nonbinary providers reported. The majority of new registrants were individuals, totaling 27 individuals, compared to 7 organizations. No specific organizations appeared multiple times in this week's data. Notably, 5 providers hold multiple taxonomies, indicating a broader scope of practice within the state's behavioral health community.
This data suggests that Hawaii's ABA workforce is small, female-dominated, and faces potential challenges in BCBA supervision capacity for its RBTs, which could impact access to ABA services.
