Hawaii's behavioral health sector registered 36 providers in the latest CMS NPI registry update, accounting for 0% of the national weekly total. This modest count indicates a relatively small volume of new or updated provider entries, signaling constrained growth in the state's behavioral health workforce.
Credential Mix and Supervision Capacity
Focusing on the ABA workforce, the data identifies 1 Board Certified Behavior Analyst (BCBA) and 16 Registered Behavior Technicians (RBTs) by credential. There were no providers holding dual BCBA and RBT credentials in this update. This ratio of 1 BCBA to 16 RBTs is significantly high, highlighting a potential bottleneck in supervision capacity. Effective ABA service delivery relies on BCBAs supervising RBTs, and such a disparity could strain existing supervisors and limit the expansion of direct therapy services.
Workforce Demographics and Organizational Presence
Among the 30 individual providers, the workforce is predominantly female, with 22 women comprising 73%. Male providers account for 8 individuals, or 27%. There were 6 organizations listed in this update, but no specific multi-state or notable organizations appeared multiple times, which is common in smaller markets not dominated by large PE-backed chains.
Overall, this data suggests that Hawaii faces significant challenges in expanding its ABA workforce, particularly in developing the supervisory capacity needed to support a growing number of RBTs and improve access to care across the islands.
