Provider Demographics
NPI:1053573295
Name:BYFIELD, MARIANNE ELIZABETH (BCBA)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:ELIZABETH
Last Name:BYFIELD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-6740
Mailing Address - Country:US
Mailing Address - Phone:407-756-0694
Mailing Address - Fax:
Practice Address - Street 1:450 RAYMOND AVE
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-6740
Practice Address - Country:US
Practice Address - Phone:407-756-0694
Practice Address - Fax:407-831-4598
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-24-72108103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst