Jacob Alan Douglas Lortie
Behavior Technician in Kailua Kona, HI. Individual provider (NPI-1).
NPI number1922980002
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1922980002
- Entity type
- Individual (NPI-1)
- Name
- Jacob Alan Douglas Lortie
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2025
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | BACB1375687 | HI | Yes |
Practice location
74-5078 Kumakani StKailua Kona, HI 96740-1530
Phone 808-746-1779
Mailing address
74-5078 Kumakani StKailua Kona, HI 96740-1530
Phone 808-746-1779
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All 63 Behavior Technician providers in Kailua Kona · All 1,064 providers in Kailua Kona
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