Individual
JACLYN JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
15-1783 RAILROAD AVE, KEAAU, HI 96749
(714) 213-2061
Mailing address
16-566 KEAAU PAHOA RD STE 188-671, KEAAU, HI 96749-8137
(714) 213-2061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-15-18756
HI
103K00000X
Behavior Analyst
Primary
66
HI
Other
Enumeration date
07/21/2015
Last updated
05/18/2023
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