Individual provider · Type 1 NPI

Jacquelyn Jacky Blickenstaff, BCBA

Behavior Analyst · Kailua, HI

NPI number 1487162145 Active

Practice location

111 Hekili St Ste A406
Kailua, HI 96734-2800

Mailing address

619 Paopua Loop
Kailua, HI 96734-3535

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X1-19-38676 (CA)
Behavior Analyst Primary 103K00000X335 (HI)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1487162145

Jacquelyn Jacky Blickenstaff, BCBA's National Provider Identifier is 1487162145, issued on Jan 16, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Kailua, HI. The record was last updated on May 9, 2023.