Lanie M Nyboer, BCBA

Individual provider Active NPI Behavior Analyst · Hamilton, MI

NPI 1215418686 · NPPES record last updated Mar 13, 2026

Key facts

NPI
1215418686
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
3618 Diamond Dr
Hamilton, MI 49419-9707
Phone
(269) 455-8223
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

3618 Diamond Dr
Hamilton, MI 49419-9707

Mailing address

3618 Diamond Dr
Hamilton, MI 49419-9707

Other providers in Hamilton, MI

All providers in Hamilton, MI · Behavior Analyst in Michigan

Sources for this page

Verify at the official NPI Registry.