Jaeliah Lane
Jaeliah Lane is a Behavior Technician in O Fallon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
6 Eagle Ctr Ste 1O Fallon, IL 62269-1945
Phone: (618) 206-8816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (IL) |
|---|
Record details
| NPI number | 1174111975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2021 |
| Last updated in NPPES | January 6, 2021 |
| Certification date | January 6, 2021 |
| Mailing address | 9902 W Main St Apt 10, Belleville, IL 62223-1420 |
Other providers in O Fallon
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Karijo Krebs
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Amber Kreke, RBT
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Jenelle Denise Lally-Roberts, RBT
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Portia Denise Lancaster
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Madison Christine Langley, RBT
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Miranda Brooke Less
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Tameka Lesueur, RBT
6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 · (618) 206-8816
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Audri Nichole Linton
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