MEDICARE: MS. NICOLYN BILYEU MA, BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	ABA-B-10244079	OR

General Provider Information

NPI Number	:	1124742622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NICOLYN BILYEU MA, BCBA, LBA

Provider Business Mailing Address
First Line	:	2532 SANTIAM HWY SE # 114
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-5211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2532 SANTIAM HWY SE # 114
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-5211
Country	:	US
Telephone Number	:	541-451-0139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2022
Last Update Date	:	04/21/2026

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