Individual provider Active NPI

Kristen Lynn Byra, PHD, BCBA-D

  • Behavior Analyst
  • Tucson, AZ
National Provider Identifier
1649506189
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-54 Issued in AZ
Practice address
3323 N Campbell Ave Ste 1
Tucson, AZ 85719-2360
Phone
(860) 671-1367
NPI assigned
Oct 18, 2009
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-07-3523 MI
Behavior Analyst 103K00000X BA-54 AZ Primary
Behavior Analyst 103K00000X LBAT081211 NV

Addresses

Primary practice location

3323 N Campbell Ave Ste 1
Tucson, AZ 85719-2360

Mailing address

15217 S Camino Glorieta Alegre
Sahuarita, AZ 85629-8463
Phone (860) 671-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
BA-54AZMDBehavioral Analyst
LBAT081211NVMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1649506189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15217 S CAMINO GLORIETA ALEGRE",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298463",
            "telephone_number": "860-671-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 N CAMPBELL AVE STE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192360",
            "telephone_number": "860-671-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRA",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-18",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-07-3523",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-54",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBAT081211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.