Kendra Lane

NPI #1164104436 in Fulton, Maryland

Provider Information

NPI Number: 1164104436
Entity Type: Individual
Name: Kendra Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 4, 2023
Last Updated: Aug 4, 2023

Practice Location

Address: 8115 MAPLE LAWN BLVD STE 350
City: Fulton
State: Maryland
ZIP Code: 20759-2683
Phone: (866) 352-5010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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