Individual
JUSTINE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
13016 CASPIAN CT APT 201, OMAHA, NE 68138-4491
(563) 321-8196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67998
IA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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