Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487162145 Individual Practitioner Female Practitioner

Jacquelyn Jacky Blickenstaff , BCBA

Behavior Analyst • Kailua, HI

Professional Overview & Biography Verified Profile Summary

Jacquelyn Blickenstaff, BCBA is a registered healthcare professional specializing in Behavior Analyst in Kailua, HI. Practice services are available at 111 HEKILI ST STE A406 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Hekili St Ste A406

Kailua, HI 967342800

Telephone 8084893548
Associated Practice Facility / Clinic
🏢 Windward Synergy Center Facility NPI 1982078846

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Kailua, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
54 Specialists

Practicing in Kailua, HI (924 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License HI 335

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License CA 1-19-38676

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Ayanna Bedard

Behavior Technician

NPI 1073202487
NPI 1073765764
Tiana Soares

Behavior Analyst

NPI 1104332477
Alana Wegel

Behavior Technician

NPI 1174081145
Austin Allwein

Behavior Technician

NPI 1174138747
Jordyn Burleson

Behavior Technician

NPI 1194495903

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 21, 2019

Registered at 111 HEKILI ST STE A406, KAILUA, HI 967342800 (Tel: 8084893548)

📍
Updated Business Mailing Address October 21, 2019

Registered at 619 PAOPUA LOOP, KAILUA, HI 967343535 (Tel: 7146159697)

👤
Provider Name / Credentials Updated October 21, 2019

Recorded as JACQUELYN BLICKENSTAFF, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2019

Behavior Analyst (License #1-19-38676 in CA)

NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2018

Registered at 5080 SHOREHAM PL STE 103, SAN DIEGO, CA 921225931 (Tel: 8582722662)

📍
Updated Business Mailing Address January 16, 2018

Registered at 5080 SHOREHAM PL STE 103, SAN DIEGO, CA 921225931

👤
Provider Name / Credentials Updated January 16, 2018

Recorded as JACQUELYN BLICKENSTAFF, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Behavior Technician (License #RBT-17-33710 in CA)

🟢
Initial NPI Registration & Enumeration January 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487162145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2018
Last Update: May 09, 2023
Sole Proprietor: No

Mailing Address

619 Paopua Loop

Kailua, HI 967343535

Phone: 7146159697

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.