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

Marissa Lane

Individual provider Behavior Technician · NPI 1538981956

Marissa Lane is a Behavior Technician in Ladson, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

482 Old Fort Dr
Ladson, SC 29456-5277
Phone: (843) 996-2350
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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 number1538981956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address482 Old Fort Dr, Ladson, SC 29456-5277

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