Provider Demographics
NPI:1821762071
Name:BYERLY, KARA K (MED, BCBA)
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:K
Last Name:BYERLY
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:K
Other - Last Name:HENDRICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1921 CORPORATE CENTER CIR STE 3G
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6773
Mailing Address - Country:US
Mailing Address - Phone:720-405-6201
Mailing Address - Fax:
Practice Address - Street 1:1921 CORPORATE CENTER CIR STE 3G
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6773
Practice Address - Country:US
Practice Address - Phone:720-405-6201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 103K00000X
CO1-20-45098103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician