Provider Demographics
NPI:1336418300
Name:LYN, ROBYN KRYSTLE (PSYD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:KRYSTLE
Last Name:LYN
Suffix:
Gender:F
Credentials:PSYD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15341 SW 152 COURT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187
Mailing Address - Country:US
Mailing Address - Phone:305-235-5124
Mailing Address - Fax:
Practice Address - Street 1:8400 S PALM DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4536
Practice Address - Country:US
Practice Address - Phone:954-342-0362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12953101YM0800X
FLPY10634103T00000X
FL1-13-13681103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist