Provider Demographics
NPI:1720263791
Name:BYRNE, SIMONE C (MA, BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:C
Last Name:BYRNE
Suffix:
Gender:F
Credentials:MA, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ANDREW MITCHELL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02650-1055
Mailing Address - Country:US
Mailing Address - Phone:774-836-0070
Mailing Address - Fax:
Practice Address - Street 1:24 ANDREW MITCHELL LN
Practice Address - Street 2:
Practice Address - City:NORTH CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02650-1055
Practice Address - Country:US
Practice Address - Phone:508-945-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist