MR. EVERETT LANE, RBT

Behavior Technician

Active Individual
NPI: 1407444938

Practice Address

4624 PARK ST
Jacksonville, FL 32205

Phone: (904) 503-0131

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1407444938 is the National Provider Identifier for MR. EVERETT LANE, RBT, a Behavior Technician provider located in Jacksonville, FL. This NPI was enumerated on January 10, 2021.
MR. EVERETT LANE, RBT practices at 4624 PARK ST, Jacksonville, FL 32205.

Quick Facts

NPI
1407444938
Type
Individual
Enumerated
Jan 10, 2021
Last Updated
Jan 10, 2021

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