Provider Demographics
NPI:1083275259
Name:LANGBEHN, ROWAN ELIZABETH (MS, BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:ROWAN
Middle Name:ELIZABETH
Last Name:LANGBEHN
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:MISS
Other - First Name:ROWAN
Other - Middle Name:ELIZABETH
Other - Last Name:KENAGY-VALTAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1516 E PALM VALLEY BLVD
Mailing Address - Street 2:BLDG C
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-4619
Mailing Address - Country:US
Mailing Address - Phone:512-733-2800
Mailing Address - Fax:
Practice Address - Street 1:1516 E PALM VALLEY BLVD BLDG C
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4619
Practice Address - Country:US
Practice Address - Phone:512-733-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2905103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1-19-36396OtherNOT A MEDICARE PROVIDER