Provider Demographics
NPI:1740423284
Name:BAYNHAM, TANYA YVONNE (MS BCBA)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:YVONNE
Last Name:BAYNHAM
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 RHODE ISLAND ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-3580
Mailing Address - Country:US
Mailing Address - Phone:785-424-3002
Mailing Address - Fax:
Practice Address - Street 1:7501 BELINDER AVE
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3659
Practice Address - Country:US
Practice Address - Phone:913-787-3275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst