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Individual
ADAM JEROME LARSON
Active
Individual
ADAM JEROME LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242229
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-242229
BEHAVIOR ANALYST CERTIFICATION BOARD
HI
Enumeration date
02/28/2023
Last updated
02/28/2023
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