Individual
ALEXANDRA L LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12014 SE MILL PLAIN BLVD STE 120, VANCOUVER, WA 98684-4044
(208) 270-5814
Mailing address
3113 W ROSE HILL ST, BOISE, ID 83705-1651
(208) 270-5814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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