MRS. Jacquelyn Jacky Blickenstaff, BCBA

NPI #1487162145 in Kailua, Hawaii

Provider Information

NPI Number: 1487162145
Entity Type: Individual
Name: MRS. Jacquelyn Jacky Blickenstaff, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 16, 2018
Last Updated: May 9, 2023

Practice Location

Address: 111 HEKILI ST STE A406
City: Kailua
State: Hawaii
ZIP Code: 96734-2800
Phone: (808) 489-3548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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