Individual
BROOKE EVELYN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 HARNEY ST STE 105, OMAHA, NE 68102-1838
(402) 252-8181
Mailing address
403 S SANDIA ST, CONCORDIA, MO 64020-8354
(248) 910-9126
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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