Individual
JENNY BLEECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 KILAUEA AVE STE 60, HILO, HI 96720-4264
(808) 969-9622
Mailing address
PO BOX 2073, PAHOA, HI 96778-2073
(808) 854-5343
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-504
HI
Other
Enumeration date
06/19/2018
Last updated
09/02/2021
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