Individual
JACLYN VIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
200 N VINEYARD BLVD STE A600200N, HONOLULU, HI 96817-3950
(808) 678-3814
Mailing address
200 N VINEYARD BLVD STE A-600, HONOLULU, HI 96817-3950
(808) 678-3814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-497
HI
103K00000X
Behavior Analyst
—
HI
106S00000X
Behavior Technician
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XLQ0000415049
—
HI
Enumeration date
03/22/2018
Last updated
04/30/2025
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