Provider Demographics
NPI:1023319530
Name:BYRNE, SUZANNE (BCBA)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:BYRNE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 WALSH DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-1463
Mailing Address - Country:US
Mailing Address - Phone:512-382-1631
Mailing Address - Fax:
Practice Address - Street 1:1705 WALSH DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-1463
Practice Address - Country:US
Practice Address - Phone:512-382-1631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst