Kelly Brett Flynn, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56198 Issued in FL

Practice address

5234 FL-54
New Port Richey, FL 34652

Phone

(727) 597-2335

NPI assigned

Dec 28, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lotus Behavior Solutions

  • Behavior Analyst
  • Tarpon Springs, FL
  • NPI 1013639772
  NPD Authorized official
• Behavior Analysis Consultants

  • Community/Behavioral Health Agency
  • Trinity, FL
  • NPI 1902354756
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1730849019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WINDRUSH BAY DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891205",
            "telephone_number": "727-412-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5234 FL-54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-597-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "KELLY",
        "middle_name": "BRETT",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-56198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Pain & Rehabilitation Institute Inc
• Florida Recovery Schools of Tampa Bay, Inc.
• Florida Treatment Services LLC
• Florida Woman Care LLC
• Florida Woman Care, LLC
• Kimberly Lockwood Flynn, PA-C
• Corrinne Follett, A.R.N.P.
• Cynthia Leland Fonda, LMHC
• Renee Cecile Fondren, APRN-C
• Eldris Fonseca Rosa

• Behavior Analyst in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.