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NPI Code Detail

MEDICARE: AMBER LANGLOIS

MEDICARE: AMBER LANGLOIS
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740719095
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LANGLOIS
Provider Business Mailing Address
First Line : 4500 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1515 INDIAN RIVER BLVD STE A210
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7107
Country : US
Telephone Number :
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 08/05/2020

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Directions to “ AMBER LANGLOIS ” Practice Location

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