Individual
ADAM JEROME LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75-5591 PALANI RD STE 204, KAILUA KONA, HI 96740-3632
(360) 490-4912
Mailing address
76-6119 ROYAL POINCIANA WAY UNIT A, KAILUA KONA, HI 96740-2264
(360) 490-4912
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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