MEDICARE: FLYNN BEHAVIORAL AND EDUCATIONAL CONSULTANTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1083247043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLYNN BEHAVIORAL AND EDUCATIONAL CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	3576 CANARY PALM CT # 296
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-6118
Country	:	US
Telephone Number	:	508-942-6506
Fax Number	:

Provider Business Practice Location Address
First Line	:	3576 CANARY PALM CT
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-6118
Country	:	US
Telephone Number	:	508-942-6506
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUMNER R FLYNN
Credential	:
Telephone Number	:	508-942-6506

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	07/24/2021

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