Individual
MR. JOSHUA B LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(516) 590-7575
Mailing address
10 MAPLE DR, LINDENHURST, NY 11757-1308
(516) 474-1531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003935-01
NY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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