Individual
FELISSA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5680 KING CENTRE DR STE 641, ALEXANDRIA, VA 22315-5757
(844) 735-0222
Mailing address
542 AMHERST ST, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67041
PA
Other
Enumeration date
08/14/2023
Last updated
09/16/2025
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