Individual
KATHERINE ELIZABETH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10 MOHAWK DR, LONDONDERRY, NH 03053
(603) 260-6167
Mailing address
10 MOHAWK DR, LONDONDERRY, NH 03053-3757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
07/31/2018
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