Madelyn Grace Gyomory

Individual provider Active NPI Behavior Technician · Lexington, MI

NPI 1669359709 · NPPES record last updated Aug 20, 2025

Key facts

NPI
1669359709
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8032 Lakeshore Rd
Lexington, MI 48450-9719
Phone
(810) 441-6783
NPI assigned
Aug 20, 2025
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 Technician 106S00000X Yes

Addresses

Primary practice location

8032 Lakeshore Rd
Lexington, MI 48450-9719

Mailing address

5876 Gracelawn St
North Branch, MI 48461-9635
Phone (810) 441-6783

Other providers in Lexington, MI

All providers in Lexington, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.