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NPI Code Detail

MEDICARE: JAMIE FLANNERY BCBA

MEDICARE: JAMIE FLANNERY BCBA
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1881376069
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE FLANNERY BCBA
Provider Business Mailing Address
First Line : 5433 FRY RD
Second Line :
City : KATY
State : TX
Zip : 77449-5595
Country : US
Telephone Number : 414-748-5553
Fax Number :
Provider Business Practice Location Address
First Line : 5433 FRY RD
Second Line :
City : KATY
State : TX
Zip : 77449-5595
Country : US
Telephone Number : 414-748-5553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 08/07/2023

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Directions to “ JAMIE FLANNERY BCBA” Practice Location

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