NPI Registry.org

Everett Lane

NPI Registration Record

Provider / OrganizationNPIDate Certified
EVERETT LANE14074449382021-01-10

Everett Lane is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407444938. Registration indicates Everett Lane is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )

Entity TypeIndividual
Provider NameMr. Everett Lane RBT
Practice Office Address4624 PARK ST
JACKSONVILLE, FL US
Practice Office Telephone9045030131
Mailing Address7603 ALTAMA RD
JACKSONVILLE, FL 322169309 US
Business Telephone9044771245
HPT Codes
CodePractice
License No
State
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
OPI Codes

© 2021 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162