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NPI Code Detail

MEDICARE: LAUREN P BYRNES MS, BCBA,

MEDICARE: LAUREN P BYRNES MS, 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
1103K00000XBehavior Analyst1-12-12192

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750625547
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN P BYRNES MS, BCBA,
Provider Business Mailing Address
First Line : 3900 COLONIAL BLVD STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-1014
Country : US
Telephone Number : 586-873-9494
Fax Number :
Provider Business Practice Location Address
First Line : 3900 COLONIAL BLVD STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-1014
Country : US
Telephone Number : 586-873-9494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2012
Last Update Date : 10/23/2023

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Directions to “ LAUREN P BYRNES MS, BCBA,” Practice Location

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