Genavive Lane
Genavive Lane is a Behavior Technician in Santa Rosa, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1160 N Dutton Ave Ste 140Santa Rosa, CA 95401-4652
Phone: (855) 223-7123
Fax: (619) 374-7134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1992415061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 30, 2022 |
| Last updated in NPPES | November 30, 2022 |
| Certification date | November 30, 2022 |
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