Healthcare Provider Details

I. General information

NPI: 1750625547
Provider Name (Legal Business Name): LAUREN P BYRNES MS, BCBA,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2012
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5509 BELMONT RD STE A
DOWNERS GROVE IL
60515-4473
US

IV. Provider business mailing address

5509 BELMONT RD STE A
DOWNERS GROVE IL
60515-4473
US

V. Phone/Fax

Practice location:
  • Phone: 630-777-2800
  • Fax:
Mailing address:
  • Phone: 586-873-9494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-12-12192
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: