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NPI Code Detail

MEDICARE: AARON BYRNE

MEDICARE: AARON BYRNE
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 Analyst7401000772MI

General Provider Information

NPI Number : 1073961694
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON BYRNE
Provider Business Mailing Address
First Line : 37 BATAVIA PL NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-3549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 640 SEMINOLE RD
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-4720
Country : US
Telephone Number : 231-724-1152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2016
Last Update Date : 11/14/2025

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