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NPI Code Detail

MEDICARE: BAILEE LANE

MEDICARE: BAILEE LANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2101Y00000XCounselor

General Provider Information

NPI Number : 1336510221
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEE LANE
Provider Business Mailing Address
First Line : 3321 W KENNEWICK AVE STE 150
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-6446
Fax Number :
Provider Business Practice Location Address
First Line : 3321 W KENNEWICK AVE STE 150
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-2968
Country : US
Telephone Number : 509-735-6446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2015
Last Update Date : 11/29/2022

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Directions to “ BAILEE LANE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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