Lane Gaudioso

NPI #1013672831 in Glen Mills, Pennsylvania

Provider Information

NPI Number: 1013672831
Entity Type: Individual
Name: Lane Gaudioso
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 5, 2021
Last Updated: Nov 5, 2021

Practice Location

Address: 1403 TANGUY RD
City: Glen Mills
State: Pennsylvania
ZIP Code: 19342-1654
Phone: (610) 389-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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