PAMELA LANE

Behavior Technician

Active Individual
NPI: 1124510805

Practice Address

3104 DELTA FAIR BLVD
Antioch, CA 94509

Phone: (925) 709-6060

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1124510805 is the National Provider Identifier for PAMELA LANE, a Behavior Technician provider located in Antioch, CA. This NPI was enumerated on May 30, 2018.
PAMELA LANE practices at 3104 DELTA FAIR BLVD, Antioch, CA 94509.

Quick Facts

NPI
1124510805
Type
Individual
Enumerated
May 30, 2018
Last Updated
May 30, 2018

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