Provider Demographics
NPI:1386535714
Name:NYLAAN, ALEXANDER ROBERT
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:ROBERT
Last Name:NYLAAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11517 WINDSOR DR NE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:MI
Mailing Address - Zip Code:49345-8520
Mailing Address - Country:US
Mailing Address - Phone:616-337-4799
Mailing Address - Fax:
Practice Address - Street 1:11517 WINDSOR DR NE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:MI
Practice Address - Zip Code:49345-8520
Practice Address - Country:US
Practice Address - Phone:616-337-4799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician