Lanea Charlene Medlar

NPI #1790326908 in Auburn, California

Provider Information

NPI Number: 1790326908
Entity Type: Individual
Name: Lanea Charlene Medlar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 30, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 416 AUBURN FOLSOM RD # 5515
City: Auburn
State: California
ZIP Code: 95603-5515
Phone: (530) 786-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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