MS. Lauren Carissa Langley

NPI #1073158002 in West Jordan, Utah

Provider Information

NPI Number: 1073158002
Entity Type: Individual
Name: MS. Lauren Carissa Langley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2019
Last Updated: Nov 13, 2019

Practice Location

Address: 6902 S CRYSTAL DOWNS LN APT 24V
City: West Jordan
State: Utah
ZIP Code: 84084-1885
Phone: (801) 562-0676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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