Individual
SHIQUITA LYNNE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 ELIZABETH DR, SAINT LOUIS, MO 63119-4240
(800) 423-2559
Mailing address
5468 LONGWOOD CIR, HIGHLANDS RANCH, CO 80130-8958
(800) 423-2559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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