Individual
ALEXANDRIA MARIE LANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 WILDWOOD LN, PALM COAST, FL 32137-3221
(386) 871-3794
Mailing address
121 BUD HOLLOW DR, PALM COAST, FL 32137-3531
(386) 871-3794
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB307881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822092
—
FL
Enumeration date
06/16/2017
Last updated
03/04/2024
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