Individual
MRS. SHELLY GRACE LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1675 HICKORY LOOP, LAS CRUCES, NM 88005-6587
(575) 652-3155
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 652-3155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38259
GA
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
16-16369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071423
CPH
GA
Enumeration date
01/15/2018
Last updated
03/25/2026
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