Lane Genualdi, RBT

NPI #1659964690 in Irving, Texas

Provider Information

NPI Number: 1659964690
Entity Type: Individual
Name: Lane Genualdi, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 19, 2021
Last Updated: Mar 20, 2023

Practice Location

Address: 400 E ROYAL LN STE 290
City: Irving
State: Texas
ZIP Code: 75039-3602
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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