Malcolm Jamaal Lane
NPI #1003311200 in San Jose, California
Provider Information
- NPI Number
- 1003311200
- Entity Type
- Individual
- Name
- Malcolm Jamaal Lane
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 28, 2018
- Last Updated
- Mar 28, 2018
Practice Location
- Address
- 75 E SANTA CLARA ST
- City
- San Jose
- State
- California
- ZIP Code
- 95113-1827
- Phone
- (866) 227-1211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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