Kaileigh Flynn, BCABA

Individual provider Active NPI Behavior Analyst · Williston, VT

NPI 1194154435 · NPPES record last updated Nov 19, 2013

Key facts

NPI
1194154435
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
0135640 (VT)
Practice address
37 Talcott Rd
Suite 114
Williston, VT 05495-2040
Phone
(802) 235-9322
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0135640VTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
SD Associates, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0135640 VT Yes

Addresses

Primary practice location

37 Talcott Rd
Suite 114
Williston, VT 05495-2040

Mailing address

37 Talcott Rd
Suite 114
Williston, VT 05495-2040
Phone (802) 662-7831

Other providers in Williston, VT

All providers in Williston, VT · Behavior Analyst in Vermont

Sources for this page

Verify at the official NPI Registry.