Individual
BAILEE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 99336-2968
(509) 735-6446
Mailing address
3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 99336-2968
(509) 735-6446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/17/2015
Last updated
11/29/2022
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