Provider Demographics
NPI:1982229787
Name:STARR, BRYNNE (BCBA)
Entity Type:Individual
Prefix:
First Name:BRYNNE
Middle Name:
Last Name:STARR
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 1:1704 W INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-2492
Mailing Address - Country:US
Mailing Address - Phone:479-439-6906
Mailing Address - Fax:877-866-6752
Practice Address - Street 1:1704 W INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-2492
Practice Address - Country:US
Practice Address - Phone:479-439-6906
Practice Address - Fax:877-866-6752
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst