Jacob Alan Douglas Lortie Valid NPI
Individual provider · Behavior Technician · Kailua Kona, HI
- NPI
- 1922980002
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- BACB1375687 (HI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2025-07-22
- Last updated
- 2025-07-22
Practice location
74-5078 Kumakani St
Kailua Kona, HI 96740-1530
(808) 746-1779