MICAH LANE

CONYERS, GA
NPI1467263327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-25-403471)
Enumeration Date2025-01-18
Last Update Date2025-01-18
Business Address
MICAH LANE
2709 BAILEY PL NE
CONYERS, GA 30013-1441
Phone number: 678-642-2052
Mailing Address
MICAH LANE
2709 BAILEY PL NE
CONYERS, GA 30013-1441
Phone number: 678-642-2052
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