NPI 1013417153

Meredith Lane, MABCBA

Practitioner Behavior Analyst Waukegan, IL

Practice location

Address: 2749 Grand Ave, Waukegan, IL 60085-2406
Phone: (224) 470-0229

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1013417153
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2018
Record last updated: 3 Sep 2021

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.