Most Relevant Information
Provider Data
| NPI Number: | 1003425620 |
| Provider Name: | BRITTANY LANE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-129769 |
Most Important Dates
| Enumeration Date: | 07/29/2020 |
| Last Updated: | 07/29/2020 |
Provider Practice Location
124 E MIRACLE STRIP PKWY STE 202
MARY ESTHER
FL
325691990
Practice Location Phone/Fax
| Phone: | 8507440118 |
| Fax: |
Provider Mailing Location
124 E MIRACLE STRIP PKWY STE 202
MARY ESTHER
FL
325691990
Provider Mailing Phone/Fax
| Phone: | 8507440118 |
| Fax: |