Individual provider Active NPI

Rosalie Lachelle Lynn

  • Assistant Behavior Analyst
  • Sturgis, MI
National Provider Identifier
1659046290
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
2022036295 Issued in MO
Practice address
921 Broadus St Ste B
Sturgis, MI 49091-2403
Phone
(833) 624-6385
NPI assigned
Aug 16, 2021
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 RBT-21-179295 MO
Assistant Behavior Analyst 106E00000X 2022036295 MO Primary

Addresses

Primary practice location

921 Broadus St Ste B
Sturgis, MI 49091-2403

Mailing address

116 W Sherman Way Ste 1
Nixa, MO 65714-9022

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

State licenses

LicenseStateTypeSpecialty
2022036295MOMDAssistant Behavior Analyst
RBT-21-179295MOMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnet ABA Therapy, LLC CurrentSince Sep 3, 2025 Accepting new patients
Daytastic ABA, LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

921 Broadus St
Ste B
Sturgis, MI 49091
Phone (248) 325-8342

116 W Sherman Way
Ste 1
Nixa, MO 65714
Phone (417) 298-0984

Organizations & group practices 2

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1659046290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W SHERMAN WAY STE 1",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BROADUS ST STE B",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912403",
            "telephone_number": "833-624-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "ROSALIE",
        "middle_name": "LACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-21-179295",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MO",
            "license": "2022036295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.