Most Relevant Information
Provider Data
| NPI Number: | 1003544362 |
| Provider Name: | LARAINA LAVERGNE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/12/2022 |
| Last Updated: | 01/05/2024 |
Provider Practice Location
203 KAPAA QUARRY PL
STE 5002
KAILUA
HI
96734
Practice Location Phone/Fax
| Phone: | 1808741223 |
| Fax: |
Provider Mailing Location
939 N KALAHEO AVE
KAILUA
HI
967341802
Provider Mailing Phone/Fax
| Phone: | 8083672456 |
| Fax: |