Heather Lane

NPI #1528447380 in Chicago, Illinois

Provider Information

NPI Number: 1528447380
Entity Type: Individual
Name: Heather Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 27, 2015
Last Updated: May 27, 2015

Practice Location

Address: 1280 W WASHINGTON BLVD
City: Chicago
State: Illinois
ZIP Code: 60607-1930
Phone: (630) 730-5263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Developmental Therapist	222Q00000X	Primary

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