Individual
MEREDITH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
2749 GRAND AVE, WAUKEGAN, IL 60085-2406
(224) 470-0229
Mailing address
2749 GRAND AVE, WAUKEGAN, IL 60085-2406
(224) 470-0229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
09/03/2021
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