Individual
KIMBERLY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14852 SCENIC HEIGHTS RD, EDEN PRAIRIE, MN 55344-2276
(763) 363-8899
Mailing address
3209 CYPRESS GROVE DR, EUSTIS, FL 32736-2503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/15/2021
Last updated
09/04/2024
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