Individual
JACQUELYN LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
1433 N WATER ST STE 400, MILWAUKEE, WI 53202-2603
(947) 622-2008
Mailing address
5570 SPANISH MOSS CV, BRADENTON, FL 34203-2114
(586) 913-5024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25321
FL
Other
Enumeration date
04/05/2017
Last updated
04/29/2024
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