Jennifer Flake

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CG61356656 Issued in WA

Practice address

17825 59TH Ave NE Ste B
Arlington, WA 98223-6453

Phone

(360) 363-4234

Fax

(360) 363-4235

NPI assigned

Sep 9, 2022

Last updated

Sep 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beautiful Autism

  • Mental Health Counselor
  • Arlington, WA
  • NPI 1841651585

  Behavior Technician

  NPD

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1326769001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CG61356656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jennifer.flake@beautifulautism.com",
            "affiliation": "N",
            "address_1": "17825 59th Ave NE Ste B",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982236453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Kae Faragher, MA60504644
• Andrea Lyn Fellman, NP-C
• Annaka C Femrite, R.D.
• Lindsey Jo Fenstermaker, RN, BSN, CCRN
• Hannah Fisher
• Joshua William Fleegel, OD
• James R Fletcher, M.D.
• Cathy L Fliris, DNP, ARNP, FNP
• Forever Spring Spa Inc.
• Nicholas Jon Forsythe, DMD

• Behavior Technician in Arlington, WA
• Providers in Arlington, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.