Healthcare Provider Details

I. General information

NPI: 1124742622
Provider Name (Legal Business Name): NICOLYN BILYEU MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLYN HONEYMAN MA

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2532 SANTIAM HWY SE # 114
ALBANY OR
97322-5211
US

IV. Provider business mailing address

2532 SANTIAM HWY SE # 114
ALBANY OR
97322-5211
US

V. Phone/Fax

Practice location:
  • Phone: 541-451-0139
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberABA-B-10244079
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: