Provider Demographics
NPI:1932090503
Name:BYRD, LAUREN MICHELE
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:MICHELE
Last Name:BYRD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MICHELE
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1777 POLK ST APT 2M
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4637
Mailing Address - Country:US
Mailing Address - Phone:754-204-1130
Mailing Address - Fax:
Practice Address - Street 1:1777 POLK ST APT 2M
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4637
Practice Address - Country:US
Practice Address - Phone:754-204-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician