Healthcare Provider Details

I. General information

NPI: 1376173807
Provider Name (Legal Business Name): KAMRYN IRBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 N INTERSTATE 35 STE 700
AUSTIN TX
78705-1874
US

IV. Provider business mailing address

1101 BRUSHY CREEK RD APT 807
CEDAR PARK TX
78613-3279
US

V. Phone/Fax

Practice location:
  • Phone: 844-459-7529
  • Fax:
Mailing address:
  • Phone: 512-910-3469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: