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NPI Code Detail

MEDICARE: ALEXANDRIA MARIE LANGAN

MEDICARE: ALEXANDRIA MARIE LANGAN
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 AnalystBACB307881FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750811261
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA MARIE LANGAN
Provider Business Mailing Address
First Line : 121 BUD HOLLOW DR
Second Line :
City : PALM COAST
State : FL
Zip : 32137-3531
Country : US
Telephone Number : 386-871-3794
Fax Number :
Provider Business Practice Location Address
First Line : 8 WILDWOOD LN
Second Line :
City : PALM COAST
State : FL
Zip : 32137-3221
Country : US
Telephone Number : 386-871-3794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2017
Last Update Date : 03/04/2024

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Directions to “ ALEXANDRIA MARIE LANGAN ” Practice Location

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