Individual
ALEX LANGSJOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 N BROAD ST, MANKATO, MN 56001-3519
(507) 345-7012
Mailing address
103 N BROAD ST, MANKATO, MN 56001-3519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689111601
—
MN
Enumeration date
01/30/2019
Last updated
02/11/2019
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