Provider Demographics
NPI:1851807903
Name:CHEEKS, JESSICA B (MA, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:B
Last Name:CHEEKS
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 PARKS DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-2125
Mailing Address - Country:US
Mailing Address - Phone:808-376-0244
Mailing Address - Fax:
Practice Address - Street 1:1342 PARKS DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2125
Practice Address - Country:US
Practice Address - Phone:808-376-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-15-09689106S00000X
HI637103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician