Active NPI
Justine Lange, BCBA
- Behavior Analyst
- Omaha, NE
National Provider Identifier
1346026432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-67998
- Practice address
- 14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200 - Phone
- (402) 807-7447
- NPI assigned
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-67998 | IA | Primary |
Addresses
Primary practice location
14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Mailing address
13016 Caspian CT Apt 201
Omaha, NE 68138-4491
Phone (563) 321-8196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1346026432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13016 CASPIAN CT APT 201",
"city": "OMAHA",
"state": "NE",
"postal_code": "681384491",
"telephone_number": "563-321-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14301 FNB PKWY STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681547200",
"telephone_number": "402-807-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "JUSTINE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IA",
"license": "1-23-67998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.