MEDICARE: DR. ROBYN KRYSTLE LYN PSY.D., 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
1	101YM0800X	Mental Health Counselor	MH12953	FL
2	103T00000X	Psychologist	PY10634	FL
3	103K00000X	Behavior Analyst	1-13-13681	FL

General Provider Information

NPI Number	:	1336418300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBYN KRYSTLE LYN PSY.D., BCBA

Provider Business Mailing Address
First Line	:	15341 SW 152 COURT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33187
Country	:	US
Telephone Number	:	305-235-5124
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 S PALM DR
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4536
Country	:	US
Telephone Number	:	954-342-0362
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2011
Last Update Date	:	01/19/2024

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