Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-17-28264 | CA |
NPI | 1003366477 |
---|---|
Provider Name | Rebecca Byrnes |
First Address | San Francisco, CA 94103-2485 |
Second Address | Sacramento, CA 95814-1808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2016 |
Last Update Date | 28/12/2017 |