Individual
JENNIFER LYNN BUCKENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 940-4241
Mailing address
130 COUNTRY CLUB CT, LEESVILLE, LA 71446-2917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39433
—
106E00000X
Assistant Behavior Analyst
0-18-9096
—
Other
Enumeration date
07/18/2017
Last updated
09/30/2025
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