Individual
JANINE K LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.B.A
Contact information
Practice address
211 RIVER ST, UNIT 1, WALTHAM, MA 02453-6564
(508) 688-4695
Mailing address
211 RIVER ST, UNIT 1, WALTHAM, MA 02453-6564
(508) 688-4695
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7044
MA
Other
Enumeration date
12/24/2011
Last updated
12/24/2011
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