Individual
BRANDON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 W FRANCISCAN DR, CROWN POINT, IN 46307-4802
(888) 271-8380
Mailing address
4002 WILLOW ST, HOBART, IN 46342-1638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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