Provider Demographics
NPI:1508627647
Name:BAYARDO, RYNAYSHA
Entity Type:Individual
Prefix:
First Name:RYNAYSHA
Middle Name:
Last Name:BAYARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 44TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-4707
Mailing Address - Country:US
Mailing Address - Phone:619-341-9582
Mailing Address - Fax:
Practice Address - Street 1:2707 44TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-4707
Practice Address - Country:US
Practice Address - Phone:619-341-9582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst