Individual provider Active NPI

Jenia Jayla Lynch-McQueen

  • Behavior Technician
  • Palm Coast, FL
National Provider Identifier
1013813740
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
515 Palm Coast Pkwy SW
Palm Coast, FL 32137-4739
Phone
(386) 951-3044
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

515 Palm Coast Pkwy SW
Palm Coast, FL 32137-4739

Mailing address

28 Florida Park Dr
Palm Coast, FL 32137-8195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1013813740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FLORIDA PARK DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PALM COAST PKWY SW",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374739",
            "telephone_number": "386-951-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH-MCQUEEN",
        "first_name": "JENIA",
        "middle_name": "JAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.