Provider Demographics
NPI:1730747726
Name:FLYNN BEHAVIOR ASSOCIATES
Entity type:Organization
Organization Name:FLYNN BEHAVIOR ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-519-0493
Mailing Address - Street 1:13185 W 62ND PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-3825
Mailing Address - Country:US
Mailing Address - Phone:303-519-0493
Mailing Address - Fax:720-707-1633
Practice Address - Street 1:13185 W 62ND PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3825
Practice Address - Country:US
Practice Address - Phone:303-519-0493
Practice Address - Fax:720-707-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty