Individual provider Active NPI

Alyse Vanderhorst, M.A., BCBA, LBA

  • Behavior Analyst
  • Lansing, MI
National Provider Identifier
1093104705
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000392 Issued in MI
Practice address
4000 W Michigan Ave
Lansing, MI 48917-2856
Phone
(517) 258-0052
NPI assigned
Jan 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 7401000392 MI Primary

Addresses

Primary practice location

4000 W Michigan Ave
Lansing, MI 48917-2856

Mailing address

2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791

Other practice location 1

2890 Carpenter Rd Ste 1100
Ann Arbor, MI 48108-1190
Phone (734) 715-9062

Other practice location 2

2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791
Phone (734) 210-0717

Other names 1

  • Alyse Marvin Former name

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
7401000392MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC Behavior Analyst PastSince Dec 27, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1093104705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 S INDUSTRIAL HWY STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172856",
            "telephone_number": "517-258-0052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2890 Carpenter Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081190",
            "country_code": "US",
            "telephone_number": "734-715-9062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 S Industrial Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481046791",
            "country_code": "US",
            "telephone_number": "734-210-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERHORST",
        "first_name": "ALYSE",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "MARVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.