Annagrace Lane

NPI #1033626395 in Cantonment, Florida

Provider Information

NPI Number: 1033626395
Entity Type: Individual
Name: Annagrace Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 8, 2018
Last Updated: Jan 8, 2018

Practice Location

Address: 3771 STEFANI RD
City: Cantonment
State: Florida
ZIP Code: 32533-7795
Phone: (850) 607-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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