Meredith Lane, M.A., BCBA
Behavior Analyst in Waukegan, IL. Individual provider (NPI-1).
NPI number1013417153
StatusActive
Last updated in NPPESSep 3, 2021
Details
- NPI
- 1013417153
- Entity type
- Individual (NPI-1)
- Name
- Meredith Lane
- Credential
- M.A., BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2018
- Certification date
- Sep 3, 2021
- Last updated
- Sep 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2749 Grand AveWaukegan, IL 60085-2406
Phone 224-470-0229
Mailing address
2749 Grand AveWaukegan, IL 60085-2406
Phone 224-470-0229
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