Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN MIKELSON
Active Sole ProprietorBehavior Technician · KAILUA KONA, HI
Registration Details
- NPI Number
- 1790487338
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2023 (3.1297698016327 yrs)
- Last Updated
- Mar 20, 2023
- License
-
BACB851600 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75-5591 PALANI RD STE 204KAILUA KONA, HI, 967403632Browse HI providers · Browse ZIP 96740
- Phone
- 8083456653
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in KAILUA KONA, HI
| Name | Credential | NPI |
|---|---|---|
| LAURIE MATZDORF | — | 1326537838 |
| ROSE LETULI | — | 1477049336 |
| DANA BOLTON-WAITE | RBT | 1902452998 |
| KELLI JEAN TOTTEN | RBT | 1760031819 |
| BENJAMMIN TOTTEN | — | 1487205449 |
| BRITTANY HARRIS | — | 1003453036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.