Individual
REBEKAH BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 S DEPEW ST, LAKEWOOD, CO 80226-4845
(314) 732-3558
Mailing address
635 S DEPEW ST, LAKEWOOD, CO 80226-4845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-19039
CO
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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