Individual
MRS. ALYSSA DUGGER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
8011 PHILIPS HWY STE 10, JACKSONVILLE, FL 32256-7459
(434) 917-3978
Mailing address
13000 HIGH TIDE BLVD, JACKSONVILLE, FL 32258-8455
(434) 917-3978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5700
FL
Other
Enumeration date
01/31/2014
Last updated
05/05/2016
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