Hawaii added 35 behavioral health providers in the latest CMS NPI registry weekly update. While this represents a small fraction of the national total, it signifies consistent, localized growth in the state's behavioral health sector. Notably, 13 new providers were enrollments this week, indicating fresh additions to the workforce. The majority of these are individual practitioners, with only 2 organizations included in this update.
ABA Workforce Composition
Focusing on applied behavior analysis, the data shows 5 BCBA professionals and 13 Registered Behavior Technicians (RBTs). It is important to note that no individuals were registered with both BCBA and RBT credentials in this update. The ratio of RBTs to BCBAs, approximately 2.6 to 1, suggests a relatively lean supervisory structure. This ratio, lower than often seen in larger states, implies that each BCBA in Hawaii may carry a substantial supervisory load, which is critical for maintaining the quality and ethical standards of ABA services delivered by RBTs.
Workforce Demographics
Of the 33 individual providers, the workforce shows a clear gender distribution: 21 (64%) are female and 12 (36%) are male. The top cities for these new enrollments include Honolulu, Aiea, Mililani, Waipahu, and Wahiawa, suggesting activity across several key population centers. No specific multi-state PE-backed chains or other organizations appeared multiple times in this week's data, indicating a potentially more fragmented or locally-driven market.
This snapshot suggests a gradual but consistent expansion of Hawaii's behavioral health workforce, with a particular emphasis on direct care roles, underscoring the ongoing need for robust supervision to support growing access to ABA services.
