Individual provider Active NPI

Tucker Richard Flottman, MA, BCBA, LBA

  • Behavior Analyst
  • Cape Girardeau, MO
National Provider Identifier
1043967615
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2025005930 Issued in MO
Practice address
3037 Lexington Ave
Cape Girardeau, MO 63701-2602
Phone
(573) 708-7250
NPI assigned
Mar 3, 2022
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 2025005930 MO Primary

Addresses

Primary practice location

3037 Lexington Ave
Cape Girardeau, MO 63701-2602

Mailing address

918 Bernadette Dr
Columbia, MO 65203-5007
Phone (573) 874-3777

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2025005930MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Midwest Behavior Analyst PastSince Mar 30, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1043967615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BERNADETTE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035007",
            "telephone_number": "573-874-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 LEXINGTON AVE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012602",
            "telephone_number": "573-708-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOTTMAN",
        "first_name": "TUCKER",
        "middle_name": "RICHARD",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2025005930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.