Individual
MR. AARON ANDREW-JALEEL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 COOPER ST, BROOKLYN, NY 11237-6402
(347) 694-0904
Mailing address
306 COOPER ST, BROOKLYN, NY 11237-6402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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