MALCOLM LANE

Behavior Technician

Active Individual
NPI: 1003311200

Practice Address

75 E SANTA CLARA ST
San Jose, CA 95113

Phone: (866) 227-1211

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1003311200 is the National Provider Identifier for MALCOLM LANE, a Behavior Technician provider located in San Jose, CA. This NPI was enumerated on March 28, 2018.
MALCOLM LANE practices at 75 E SANTA CLARA ST, San Jose, CA 95113.

Quick Facts

NPI
1003311200
Type
Individual
Enumerated
Mar 28, 2018
Last Updated
Mar 28, 2018

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