Provider Demographics
NPI:1548002983
Name:BYERS, RALEIGH EDWARD
Entity type:Individual
Prefix:
First Name:RALEIGH
Middle Name:EDWARD
Last Name:BYERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4057 S ODESSA CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-7479
Mailing Address - Country:US
Mailing Address - Phone:720-213-8637
Mailing Address - Fax:
Practice Address - Street 1:4057 S ODESSA CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-7479
Practice Address - Country:US
Practice Address - Phone:720-213-8637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst