Jessie Flynn
Individual provider Active NPI Behavior Technician · Honolulu, HI
NPI 1962075457 · NPPES record last updated Jul 21, 2021
Key facts
- NPI
- 1962075457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5666 Kalanianaole Hwy
Honolulu, HI 96821-2329 - Phone
- (562) 201-1834
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5666 Kalanianaole Hwy
Honolulu, HI 96821-2329
Mailing address
5666 Kalanianaole Hwy
Honolulu, HI 96821-2329
Other providers in Honolulu, HI
- Dilbuil Floyd
- Yuki Matsumoto Floyd
- Flying With Eagles, LLC
- Bret W. Flynn
- Helen D Flynn
- Mallory Jean Flynn
- Walter S O Fo
- Marie Dianne Fochtman Seleny
- Alexis Marie Fodran
- Rebecca Claire Fojas-Calimpong
All providers in Honolulu, HI · Behavior Technician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.