Provider Demographics
NPI:1508657172
Name:BARBER, LILLEY KATHERINE
Entity type:Individual
Prefix:
First Name:LILLEY
Middle Name:KATHERINE
Last Name:BARBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16529 SANDSTONE PLZ APT 2003
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-5397
Mailing Address - Country:US
Mailing Address - Phone:913-210-9926
Mailing Address - Fax:
Practice Address - Street 1:1649 61ST STREET, ST 301, 3RD FL, BROOKLYN, NY 11204-33
Practice Address - Street 2:ST 301, 3RD FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204
Practice Address - Country:US
Practice Address - Phone:402-252-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician