NPI 1033960240

Dominique Lang

Practitioner Behavior Technician North Little Rock, AR

Practice location

Address: 4610 W Commercial Dr, North Little Rock, AR 72116-7057
Phone: (201) 287-5229
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-336576 (AR)

Other Behavior Technician providers in Arkansas →

Registry record

NPI: 1033960240
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2024
Record last updated: 27 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.