Jaclyn Vien, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-497 Issued in HI

Practice address

200 N Vineyard Blvd Ste A600200N
Honolulu, HI 96817-3950

Phone

(808) 678-3814

NPI assigned

Mar 22, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1386148369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE A-600",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-678-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE A600200N",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-678-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEN",
        "first_name": "JACLYN",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XLQ0000415049",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheldon Victorine
• David William Victorino Jr., CO SUBSTANCE ABUSE
• Gian V, Vicuna, P.T.
• Mikaela-Faith Vidad-Huddy
• Darko Vidak
• Malvin Vien, MD
• Lauren Faye Vierheilig
• Koah Robin Vierkoetter, MD
• Gabrielle Viernes
• Jeffrey Viernes, APRN

• Behavior Analyst in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.