Individual provider Active NPI

Leslie Nicole Lynch, BCBA

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1750857314
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31988 Issued in IN
Practice address
8646 Guion Rd
Indianapolis, IN 46268-3011
Phone
(317) 334-7331
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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 1-18-31988 IN Primary

Addresses

Primary practice location

8646 Guion Rd
Indianapolis, IN 46268-3011

Mailing address

5556 N Meridian St
Indianapolis, IN 46208-2658
Phone (317) 334-7331

Other practice location 1

21613 Rhodes Rd
Spring, TX 77388-3026
Phone (281) 407-1690

Other practice location 2

322 DuPont Dr Ste C
Seymour, IN 47274-1764
Phone (317) 334-7331

Other practice location 3

3464 S 4th St
Terre Haute, IN 47802-4168
Phone (317) 334-7331

Other practice location 4

451 S Park Ridge Rd Ste 102
Bloomington, IN 47401-8589
Phone (317) 334-7331

Other practice location 5

737 E 86th St
Indianapolis, IN 46240-1803
Phone (317) 802-7447

Other identifiers 1

IdentifierTypeStateIssuer
300020337MedicaidIN

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
Unlocking the Spectrum Behavior Analyst CurrentSince Dec 22, 2019 Accepting new patients
Unlocking the Spectrum Texas, LLC Behavior Analyst PastSince Aug 11, 2019 Accepting new patients

Locations

8646 Guion Rd
Indianapolis, IN 46268
Phone (317) 344-7331

322 DuPont Dr
Ste C
Seymour, IN 47274
Phone (812) 271-3035

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1750857314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462082658",
            "telephone_number": "317-334-7331",
            "fax_number": "317-334-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8646 GUION RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683011",
            "telephone_number": "317-334-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21613 Rhodes Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773883026",
            "country_code": "US",
            "telephone_number": "281-407-1690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 DuPont Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472741764",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3464 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024168",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 S Park Ridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474018589",
            "country_code": "US",
            "telephone_number": "317-334-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737 E 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462401803",
            "country_code": "US",
            "telephone_number": "317-802-7447",
            "fax_number": "317-802-7325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LESLIE",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-18-31988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300020337",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.