Jacob David Evans
Behavior Technician in Wailuku, HI. Individual provider (NPI-1).
NPI number1669317871
StatusActive
Last updated in NPPESApr 22, 2026
Details
- NPI
- 1669317871
- Entity type
- Individual (NPI-1)
- Name
- Jacob David Evans
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2026
- Certification date
- Apr 22, 2026
- Last updated
- Apr 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT26523101 | HI | Yes |
Practice location
1867 E Vineyard StWailuku, HI 96793-1847
Phone 808-298-0111
Mailing address
1867 E Vineyard StWailuku, HI 96793-1847
Phone 808-298-0111
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All 97 Behavior Technician providers in Wailuku · All 1,418 providers in Wailuku
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