Individual
AMANDA LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6446 E CENTRAL AVE # 252, WICHITA, KS 67206-1923
(855) 832-6727
Mailing address
609 E SHADE, ANDOVER, KS 67002-8693
(360) 448-8050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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