Amanda Lane

NPI #1861374548 in Jenison, Michigan

Provider Information

NPI Number: 1861374548
Entity Type: Individual
Name: Amanda Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2025
Last Updated: Jul 23, 2025

Practice Location

Address: 8413 COTTONWOOD DR
City: Jenison
State: Michigan
ZIP Code: 49428-8327
Phone: (574) 208-2868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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