Daja Andrea Lane
NPI #1518663186 in Louisville, Georgia
Provider Information
- NPI Number
- 1518663186
- Entity Type
- Individual
- Name
- Daja Andrea Lane
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 408 1ST ST
- City
- Louisville
- State
- Georgia
- ZIP Code
- 30434-6503
- Phone
- (478) 206-6180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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