Provider Demographics
NPI:1083247043
Name:FLYNN BEHAVIORAL AND EDUCATIONAL CONSULTANTS, LLC
Entity Type:Organization
Organization Name:FLYNN BEHAVIORAL AND EDUCATIONAL CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUMNER
Authorized Official - Middle Name:R
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-942-6506
Mailing Address - Street 1:3576 CANARY PALM CT # 296
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-6118
Mailing Address - Country:US
Mailing Address - Phone:508-942-6506
Mailing Address - Fax:
Practice Address - Street 1:3576 CANARY PALM CT
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-6118
Practice Address - Country:US
Practice Address - Phone:508-942-6506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty