Jessica Lynnae Flynn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-281456 Issued in IN

Practice address

1501 W Tapp Rd
Bloomington, IN 47403-3459

Phone

(812) 330-4460

Fax

(812) 330-4461

NPI assigned

Jun 27, 2023

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

State licenses

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.

• Reach High Consulting and Therapy, LLC

  • Behavior Analyst
  • Bloomington, IN
  • NPI 1053629246

  Behavior Technician

  NPD (past)
• Rise Autism LLC

  • Behavior Analyst
  • Bloomington, IN
  • NPI 1053907808

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1962188698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W TAPP RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033459",
            "telephone_number": "812-330-4460",
            "fax_number": "812-330-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W TAPP RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033459",
            "telephone_number": "812-330-4460",
            "fax_number": "812-330-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JESSICA",
        "middle_name": "LYNNAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-23-281456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua B Florez, PA-C
• Beth E Florini, MD
• Mark Stafford Floyd, M.D.
• Nathan Floyd, LCSW
• Ashton Flynn, RBT
• Sean Flynn, MD
• Fogerty Music Therapy, LLC
• Daniel Fogerty, SLP
• Jonnetta J Fogerty, MM, MT-BC
• Sheyla Fogle

• Behavior Technician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.