Ashley E Lane

NPI #1912472994 in Itasca, Illinois

Provider Information

NPI Number: 1912472994
Entity Type: Individual
Name: Ashley E Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 5, 2018
Last Updated: Sep 4, 2024

Practice Location

Address: 901 W HAWTHORN DR
City: Itasca
State: Illinois
ZIP Code: 60143-2056
Phone: (800) 844-1232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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