Active NPI
Bailey Jewel Lynch
- Behavior Technician
- Allen, TX
National Provider Identifier
1699430991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-165948
- Practice address
- 800 N Watters Rd Ste 120
Allen, TX 75013-5346 - Phone
- (855) 782-7822
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 21-165948 | TX | Primary |
Addresses
Primary practice location
800 N Watters Rd Ste 120
Allen, TX 75013-5346
Mailing address
1545 K Ave Apt 378
Plano, TX 75074-6267
Phone (214) 585-9536
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-165948 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1699430991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 K AVE APT 378",
"city": "PLANO",
"state": "TX",
"postal_code": "750746267",
"telephone_number": "214-585-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N WATTERS RD STE 120",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135346",
"telephone_number": "855-782-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "BAILEY",
"middle_name": "JEWEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "21-165948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
- Luxottica Retail North America Inc (Target Optical #C4482)
- Thu Mindy Ly, D.O.
- Chalah Dauchann Lykes, BCBA
- Lyle D Haskell (North Texas Foot Group)
- Lyle Haskell DPM PLLC (North Texas Foot Group)
- Kiera Lyons
- Matthew Douglas Lyons, OD
- M.O.S.H. Counseling Services, PLLC
- M2 Chiropractic, LLC
- Mabel Home Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.