Individual
MADELEINE L BYRNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 266-7903
Mailing address
1320 PLANTATION RD NE, ROANOKE, VA 24012-5713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-192599
VA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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