Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah Lane, BCBA

Individual provider Behavior Analyst · NPI 1225553530

Mariah Lane, BCBA is a Behavior Analyst in Ponte Vedra Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833
Phone: (904) 705-2995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1225553530
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedAugust 8, 2017
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address4624 Park St, Jacksonville, FL 32205-7327

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