Individual
LARIDA FEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL, 5002, KAILUA, HI 96734
(808) 741-2232
Mailing address
203 KAPAA QUARRY PL, 5002, KAILUA, HI 96734-4675
(808) 741-2232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75429
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/05/2019
Last updated
09/05/2024
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