Micah Lane

NPI #1467263327 in Conyers, Georgia

Provider Information

NPI Number: 1467263327
Entity Type: Individual
Name: Micah Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 18, 2025
Last Updated: Jan 18, 2025

Practice Location

Address: 2709 BAILEY PL NE
City: Conyers
State: Georgia
ZIP Code: 30013-1441
Phone: (678) 642-2052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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