Individual provider Active NPI

Lynnette Jha, BCBA

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1255935979
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-58890 Issued in FL
Practice address
4901 Helios Cir Apt 206
Kissimmee, FL 34746-1709
Phone
(561) 223-0116
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-58890 FL Primary

Addresses

Primary practice location

4901 Helios Cir Apt 206
Kissimmee, FL 34746-1709

Mailing address

4901 Helios Cir Apt 206
Kissimmee, FL 34746-1709
Phone (561) 223-0116

Other practice location 1

6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040
Phone (561) 223-0116

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Behavioral Services, Inc. Behavior Analyst PastSince Nov 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1255935979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 HELIOS CIR APT 206",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347461709",
            "telephone_number": "561-223-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 HELIOS CIR APT 206",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347461709",
            "telephone_number": "561-223-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6303 Blue Lagoon Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331266040",
            "country_code": "US",
            "telephone_number": "561-223-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHA",
        "first_name": "LYNNETTE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-58890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.