Individual
AERIEL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
6200 SARATOGA BLVD UNIT 2, CORPUS CHRISTI, TX 78414-3478
(210) 447-0039
Mailing address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66955
TX
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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