Individual
LANIE M NYBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3618 DIAMOND DR, HAMILTON, MI 49419-9707
(269) 455-8223
Mailing address
3618 DIAMOND DR, HAMILTON, MI 49419-9707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/23/2018
Last updated
03/13/2026
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