Kenny Lang
Individual provider Active NPI Behavior Technician · Secane, PA
NPI 1801645171 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1801645171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2312 Secane Rd
Secane, PA 19018-2810 - Phone
- (267) 564-5717
- Fax
- (609) 526-8479
- NPI assigned
- May 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | PA | Yes |
Addresses
Primary practice location
2312 Secane Rd
Secane, PA 19018-2810
Mailing address
2312 Secane Rd
Secane, PA 19018-2810
Phone (267) 564-5717
Other providers in Secane, PA
- Darin Lamar Hudson
- Iron Psych Works, Inc.
- Tischira Shanee Ison
- Devansya Knowles
- Padmini Kunnathully
- Vanessa Laurent
- You-Lim Ma
- Maggie Manyose-Grimley
- Bianca Nadira McFadden
- Jessica M McTaggart
All providers in Secane, PA · Behavior Technician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.