Jacquelin Ann Hickey, BCBA
Individual provider Active NPI Behavior Analyst · Keyport, NJ
NPI 1528296597 · NPPES record last updated Jun 29, 2009
Key facts
- NPI
- 1528296597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BCBA 1-03-1113 (NY)
- Practice address
- 37 Osborn St
Keyport, NJ 07735-1514 - Phone
- (732) 264-1947
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA 1-03-1113 | NY | Yes |
Addresses
Primary practice location
37 Osborn St
Keyport, NJ 07735-1514
Mailing address
37 Osborn St
Keyport, NJ 07735-1514
Phone (732) 264-1947
Other providers in Keyport, NJ
- Allison Paige Hawkins
- Healthpoint Anesthesia Associates LLC
- Healthpoint Medical GRP. of Keyport
- Heathpoint Medical Group of Keyport, LLC
- Janet Henderson
- Tulika Hijli
- Kristina Marie Jeffrey
- Olubukola C Jemilugba
- Key Physmed PC
- Keyport Public Schools
All providers in Keyport, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.