Provider Demographics
NPI:1851966584
Name:FLIKKE, JANET MARLETTE (LSW, BCBA)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARLETTE
Last Name:FLIKKE
Suffix:
Gender:F
Credentials:LSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 SHELBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-4349
Mailing Address - Country:US
Mailing Address - Phone:812-266-0113
Mailing Address - Fax:
Practice Address - Street 1:5705 SHELBOURNE RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-4349
Practice Address - Country:US
Practice Address - Phone:812-266-0113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33004819A104100000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker