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General NPI Number Information
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NPI Number | 1336418300
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Entity Type | Individual
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Provider Name | ROBYN KRYSTLE LYN PSY.D., BCBA
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Gender | Female
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 8400 S PALM DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4536
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Country | US
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Telephone | 954-342-0362
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Fax |
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Provider Business Mailing Address
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Address Line | 15341 SW 152 COURT
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City | MIAMI
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State | FL
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Zip | 33187
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Country | US
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Telephone | 305-235-5124
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH12953
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY10634
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-13681
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License Number State | FL
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