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LILAC DEVELOPMENTAL HEALTH LLC
NPI 1487509402
Behavior Analyst in Fenton, MI

Active since March 04, 2026
4036 SHADOW OAK CT, FENTON, MI 48430(989) 854-4273 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lilac Developmental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILAC DEVELOPMENTAL HEALTH LLC (NPI 1487509402) is a healthcare organization registered as a behavior analyst in Fenton, Michigan and active in the NPI registry since March 2026. The organization lists Audrey L Koresh, Behavior Analyst, as its authorized official.

NPPES Registry Identity

NPI1487509402
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameLILAC DEVELOPMENTAL HEALTH LLC
Location Address4036 SHADOW OAK CTFenton, MI 48430-9122
Mailing Address4036 Shadow Oak CtFenton, MI 48430-9122
Phone(989) 854-4273
Organization SubpartNo
Authorized OfficialAudrey L KoreshBehavior Analyst · (989) 854-4273
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1487509402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

4036 SHADOW OAK CT, Fenton, MI 48430
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilac Developmental Health LLC's NPI number?

The NPI number for Lilac Developmental Health LLC is 1487509402. It was assigned to this organization in the NPPES registry on March 4, 2026.

Where is Lilac Developmental Health LLC located?

Lilac Developmental Health LLC is located at 4036 Shadow Oak Ct, Fenton, MI 48430. The listed phone number is (989) 854-4273.

What is Lilac Developmental Health LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Lilac Developmental Health LLC was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.