Individual
ASHLEY L LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
8224 MENTOR AVE STE 114, MENTOR, OH 44060-5743
(330) 867-2240
Mailing address
36690 S LAKE SHORE BLVD, EASTLAKE, OH 44095-1344
(316) 518-0180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49640
OH
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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