MARTHA TANIA LANGE

FORT MYERS, FL
NPI1427532415
Professional NameM TANIA LANGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence:   1-21-50783)
Additional Taxonomies106S00000X Behavior Technician
(Licence: FL  18-55096)
Enumeration Date2018-09-17
Last Update Date2022-05-16
Business Address
MARTHA TANIA LANGE
3661 CENTRAL AVE
FORT MYERS, FL 33901-8218
Phone number: 392-458-7612
Mailing Address
MARTHA TANIA LANGE
3661 CENTRAL AVE
FORT MYERS, FL 33901-8218
Phone number: 239-245-8761