Alyssa Leanne Lane

NPI #1275403206 in Granite City, Illinois

Provider Information

NPI Number: 1275403206
Entity Type: Individual
Name: Alyssa Leanne Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 5, 2025
Last Updated: Nov 5, 2025

Practice Location

Address: 2421 CORPORATE CTR
City: Granite City
State: Illinois
ZIP Code: 62040-4148
Phone: (618) 520-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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