Provider Demographics
NPI:1154724482
Name:NEMER-KAISER, LAUREN MAE (MS, BCBA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MAE
Last Name:NEMER-KAISER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MAE
Other - Last Name:HOOMAIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:614 174TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-9755
Mailing Address - Country:US
Mailing Address - Phone:616-540-7163
Mailing Address - Fax:
Practice Address - Street 1:614 174TH AVE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-9755
Practice Address - Country:US
Practice Address - Phone:616-540-7163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-14-10017103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst