Individual
ASHLEY NICOLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9909 BLUNDON DR APT 303, SILVER SPRING, MD 20902-5219
(443) 359-1771
Mailing address
9909 BLUNDON DR APT 303, SILVER SPRING, MD 20902-5219
(443) 359-1771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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