Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lilac Developmental Health LLC

Organization Behavior Analyst · NPI 1487509402

Lilac Developmental Health LLC is a Behavior Analyst in Fenton, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4036 Shadow Oak Ct
Fenton, MI 48430-9122
Phone: (989) 854-4273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1487509402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Koresh — Behavior Analyst · (989) 854-4273
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address4036 Shadow Oak Ct, Fenton, MI 48430-9122

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