Individual
KENNY LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2312 SECANE RD, SECANE, PA 19018-2810
(267) 564-5717
(609) 526-8479
Mailing address
2312 SECANE RD, SECANE, PA 19018-2810
(267) 564-5717
(609) 526-8479
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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