Malcolm Jamaal Lane
Behavior Technician
75 E Santa Clara St
San Jose
, California 95113-1827
Malcolm Jamaal Lane
Behavior Technician
75 E Santa Clara St
San Jose
, California 95113-1827
(510) 331-3307
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Malcolm Jamaal Lane
- 32530 Pulaski Dr
- Hayward, CA
- Zip : 94544-8223
- Phone : (510) 331-3307
Second Address
- Malcolm Jamaal Lane
- 75 E Santa Clara St
- San Jose, CA
- Zip : 95113-1827
- Phone : (866) 227-1211
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003311200 |
|---|---|
| Provider Name | Malcolm Jamaal Lane |
| First Address | Hayward, CA 94544-8223 |
| Second Address | San Jose, CA 95113-1827 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2018 |
| Last Update Date | 28/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.