Most Relevant Information
Provider Data
| NPI Number: | 1003291972 |
| Provider Name: | JACLYN JOE M.ED, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-15-18756 |
Most Important Dates
| Enumeration Date: | 07/21/2015 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
15-1783 RAILROAD AVE
KEAAU
HI
96749
Practice Location Phone/Fax
| Phone: | 7142132061 |
| Fax: |
Provider Mailing Location
16-566 KEAAU PAHOA RD STE 188-671
KEAAU
HI
967498137
Provider Mailing Phone/Fax
| Phone: | 7142132061 |
| Fax: |