Provider Demographics
NPI:1922358746
Name:BYRON UNION SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BYRON UNION SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOPETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-809-7500
Mailing Address - Street 1:14301 BYRON HWY
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:CA
Mailing Address - Zip Code:94514-2515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14301 BYRON HIGHWAY
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:CA
Practice Address - Zip Code:94514
Practice Address - Country:US
Practice Address - Phone:925-809-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty