Most Relevant Information
Provider Data
| NPI Number: | 1003642174 |
| Provider Name: | BRIANNA LANE DONALDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2024 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
7443 W US HIGHWAY 90
LAKE CITY
FL
320558071
Practice Location Phone/Fax
| Phone: | 3523734411 |
| Fax: | 3523734455 |
Provider Mailing Location
1408 NW 6TH ST
GAINESVILLE
FL
326014020
Provider Mailing Phone/Fax
| Phone: | 3523734411 |
| Fax: | 3523734455 |