Individual
MS. AMANDA ELLEN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
454 FORT FLORIDA RD, DEBARY, FL 32713
(386) 562-0170
(888) 338-8312
Mailing address
454 FORT FLORIDA RD, DEBARY, FL 32713-9714
(386) 562-0170
(888) 338-8312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4879
FL
Other
Enumeration date
07/08/2010
Last updated
06/16/2025
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