Individual
JAY WESLEY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 352-6232
Mailing address
411 BAINBRIDGE ST APT 152, RICHMOND, VA 23224-2388
(804) 489-7327
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
04/10/2023
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