Jaybird ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

JAYBIRD ABA LLC

Practice address

202 S 9TH St
Indianola, IA 50125-2824

Phone

(520) 429-6863

NPI assigned

May 21, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Nicola Brummer, M.ED, BCBANPI 1649715392

Title

Clinical Director

Phone

(520) 429-6863

Specialties & licenses 1

Addresses

Other names 1

• Jaybird ABA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicola Brummer, BCBA, LBA

  • Behavior Analyst
  • Indianola, IA
  • NPI 1649715392
  NPD Authorized official

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1083406243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 9TH ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252824",
            "telephone_number": "520-429-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 9TH ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252824",
            "telephone_number": "520-429-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYBIRD ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BRUMMER",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "520-429-6863",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaybird ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Physicians Clinic Medical Foundation
• Iowa Speech Therapy
• Gary Lee Jacobsen, DDS
• Gary Janssen, DO
• Alfreda Jarue
• Jaybird Holdings Indianola LLC
• Chris Robert Jensen, M.D.
• Marisa Jensen, PT
• Amanda Johnson
• Yulia Johnson, D.O.

• Behavior Analyst in Indianola, IA
• Providers in Indianola, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.