Individual
BREANNA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3340 S LINCOLN BLVD, MARION, IN 46953-4501
(765) 661-9709
Mailing address
3340 S LINCOLN BLVD, MARION, IN 46953-4501
(765) 661-9709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-417957
IN
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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