MEDICARE: LAUREN MAE NEMER-KAISER M.S., BCBA

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	1-14-10017	MI

General Provider Information

NPI Number	:	1154724482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MAE NEMER-KAISER M.S., BCBA

Provider Business Mailing Address
First Line	:	614 174TH AVE
Second Line	:
City	:	SPRING LAKE
State	:	MI
Zip	:	49456-9755
Country	:	US
Telephone Number	:	616-540-7163
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 174TH AVE
Second Line	:
City	:	SPRING LAKE
State	:	MI
Zip	:	49456-9755
Country	:	US
Telephone Number	:	616-540-7163
Fax Number	:

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

Provider Enumeration Date	:	10/01/2014
Last Update Date	:	11/27/2023

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