NPI 1003311200

Malcolm Jamaal Lane

Practitioner Behavior Technician San Jose, CA

Practice location

Address: 75 E Santa Clara St, San Jose, CA 95113-1827
Phone: (866) 227-1211
Mailing address: 32530 Pulaski Dr, Hayward, CA 94544-8223

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in California →

Registry record

NPI: 1003311200
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2018
Record last updated: 28 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.