National Provider Identifier

Jesica Lang, BCBA

Jesica Lang, BCBA is listed in the NPPES registry with a primary specialty of Behavior Analyst in West Seneca, NY and a listed phone number of (818) 241-6780.

NPI 1760983464West Seneca, NYBehavior Analyst

Profile Overview

NPI
1760983464
Provider Type
Individual
Primary Specialty
Behavior Analyst
Enumeration Date
February 27, 2018
Last Updated
October 02, 2020

Practice Location

  • 950A Union RD Ste 108
  • West Seneca, NY 14224-3432

Phone: (818) 241-6780

Mailing Address

  • PO Box 767938
  • Roswell, GA 30076-7938

Specialties

  • Behavior Analyst (103K00000X)
  • Behavior Technician (106S00000X)
Full Record
NPI
1760983464
Entity Type
Individual
Last Name
Lang
First Name
Jesica
Credential
BCBA
Mailing Street Address
PO Box 767938
Mailing City
Roswell
Mailing State
GA
Mailing ZIP Code
30076-7938
Mailing Country
US
Mailing Phone
(818) 241-6780
Mailing Fax
(818) 241-6853
Practice Street Address
950A Union RD Ste 108
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3432
Practice Country
US
Practice Phone
(818) 241-6780
Practice Fax
(818) 241-6853
Enumeration Date
February 27, 2018
Last Updated
October 02, 2020
Sex
Female
Sole Proprietor
No
Certification Date
October 02, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Analyst (103K00000X), Behavior Technician (106S00000X)