Hawaii added a total of 37 behavioral health providers in the latest CMS NPI registry update, with 21 providers newly enrolled this week. This represents 0% of the national weekly total, indicating a modest, localized growth pattern for the state's behavioral health sector.
ABA Workforce Composition
The latest update shows 21 Registered Behavior Technicians (RBTs) joining Hawaii's behavioral health workforce. Notably, 0 Board Certified Behavior Analysts (BCBAs) were added this week, and there were 0 dual BCBA+RBT credentials. This significant imbalance, with a substantial number of new RBTs but no new BCBAs, points to a potential challenge in maintaining adequate supervision ratios for ABA services, as RBTs require direct oversight from BCBAs. While 3 RBTs explicitly listed RBT as their credential, the total of 21 RBTs reflects those identified by either credential or primary taxonomy. Other new professionals include 2 Licensed Clinical Social Workers (LCSWs) and 2 Licensed Mental Health Counselors (LMHCs).
Provider Demographics
Among the 33 individual providers, the workforce leans female, with 19 women (58%) and 14 men (42%). No organizations appeared multiple times in this update. The new providers are concentrated in cities like Honolulu, Waipahu, and Kailua.
The concentrated growth in RBTs without corresponding BCBA additions suggests that Hawaii's ABA sector may face increasing pressure to ensure sufficient supervisory capacity, impacting overall access and quality of care for individuals requiring behavioral health services.
