Langston, Lance J

Langston, Lance J is an sole proprietor health care provider with primary practice located at 2 Crosstie Ct , Palm Coast FL 32137. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Langston, Lance J can be contacted via phone (386) 302-7814.

Contact Information

Primary practice address
2 Crosstie Ct Palm Coast FL 32137
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-7887-89669 Florida

Profile Details

NPI number 1679081459
LBN Legal business name Langston, Lance J
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2018
Last updated Jun 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679081459 NPPES
Florida MEDICAID 1679081459

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