Individual
MRS. JACQUELINE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
66-437 KAMEHAMEHA HWY UNIT 95, HALEIWA, HI 96712-3005
(808) 518-4565
Mailing address
2863 MCLELLAN BLVD, YORKVILLE, IL 60560-4617
(516) 984-8167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-207
HI
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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