McKenzie L Byron

Key facts

NPI

1245051069

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

240 Morris Ave Ste 100
Salt Lake City, UT 84115-3278

Phone

(801) 935-4171

NPI assigned

Oct 23, 2024

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 23, 2024.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1245051069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD STE 830",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MORRIS AVE STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153278",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRON",
        "first_name": "MCKENZIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

• Linette Hancey Byrne
• Peter M Byrne, PH.D.
• Robert William Byrne, PT, DPT, ATC/LAT
• Rory A. Byrne, MD
• Stephanie N Byrne, PHARMD
• Marin C Bywater, LCSW
• Collin K Bywaters, D.P.T.
• C. Haydee Mas, PH.D., PC
• C3 Physical Therapy and Health & Wellness Services
• Hayley Victoria Cabacar

All providers in Salt Lake City, UT · Behavior Technician in Utah