Individual
MRS. KELLY E. BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, SDA, BCBA,LBA
Contact information
Practice address
45 HOLMES PL, LYNBROOK, NY 11563-1142
(516) 946-3008
Mailing address
45 HOLMES PL, LYNBROOK, NY 11563-1142
(516) 946-3008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001121-1
NY
252Y00000X
Early Intervention Provider Agency
—
NY
Other
Enumeration date
06/11/2012
Last updated
07/21/2022
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