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Individual

LANE VRBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
12606 GREENVILLE AVE STE 260, DALLAS, TX 75243-1921
(346) 200-5618
Mailing address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
(346) 200-5618

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TX
106S00000X
Behavior Technician

Other

Enumeration date
11/16/2023
Last updated
06/06/2025
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