Adam Jerome Larson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-242229 Issued in HI

Practice address

75-5591 Palani Rd Ste 204
Kailua Kona, HI 96740-3632

Phone

(360) 490-4912

NPI assigned

Feb 28, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1619676582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6119 ROYAL POINCIANA WAY UNIT A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402264",
            "telephone_number": "360-490-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD STE 204",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403632",
            "telephone_number": "360-490-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ADAM",
        "middle_name": "JEROME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-22-242229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-22-242229",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Theresa Lang, MA CCCA
• Chandroutie Pam Lange, LAC
• Bianka L Lankford Leborio, APRN
• Justin Larkin, MA
• Anna Larson-Dola, PA-C
• Latitude 19 Medical Inc.
• Marcy H. Latteman
• Corinne O Laurance, M.D.
• Nyle Hiroshi Le
• Kaikala Lealao

• Behavior Technician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.