Wellformed AI

NPI 1124742622 · live from the CMS NPI Registry

Nicolyn Bilyeu, MA, BCBA, LBA

Behavior Analyst in Medford, OR. National Provider Identifier 1124742622, active.

NPI record

NPI1124742622 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location3539 Heathrow Way Ste 205, Medford, OR 97504
Practice phone503-523-5605
Mailing address180 E Ocean Blvd Ste 250, Long Beach, CA 90802
EnumeratedSeptember 28, 2022
Last updatedOctober 14, 2026
Sole proprietorNo
Other namesNicolyn Honeyman

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XABA-B-10244079 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.