Mrs. JACQUELYN JACKY BLICKENSTAFF BCBA
Individual Provider (NPI-1)
Active
Behavior Analyst
Provider Information
- NPI Number
1487162145- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BCBA
- Status
- Active
Contact & Location
- Address
- 111 HEKILI ST STE A406, KAILUA, HI, 967342800
- Phone
- (808) 489-3548
Specialties & Taxonomies
Behavior Analyst
License: CA #1-19-38676
Behavior Analyst
Primary License: HI #335