Provider Demographics
NPI:1023414661
Name:BELDING, JACQUELINE BAKER (MED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:BAKER
Last Name:BELDING
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3-2600 KAUMUALII HWY
Mailing Address - Street 2:STE 1300, PMB 340
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2040
Mailing Address - Country:US
Mailing Address - Phone:864-593-1784
Mailing Address - Fax:
Practice Address - Street 1:3-2600 KAUMUALII HWY
Practice Address - Street 2:STE 1300, PMB 340
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2040
Practice Address - Country:US
Practice Address - Phone:864-593-1784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst