LARISA IDLIS

WAILUKU, HI
NPI1891636692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: HI  RBT-26-526875)
Enumeration Date2026-04-03
Last Update Date2026-04-03
Business Address
LARISA IDLIS RBT
220 IMI KALA ST STE 102
WAILUKU, HI 96793-1209
Phone number: 808-204-2893
Mailing Address
LARISA IDLIS RBT
220 IMI KALA ST STE 104
WAILUKU, HI 96793-1209
Phone number: 808-204-2893