Individual
BROOKE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2387 HUNTCREST WAY, LAWRENCEVILLE, GA 30043-6306
(678) 710-2324
Mailing address
40 TRILLIUM CIR APT 508, DOTHAN, AL 36301-7623
(205) 752-4439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/30/2019
Last updated
07/25/2022
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