Provider Demographics
NPI:1811593965
Name:LANGER, DANIEL CHARLES
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CHARLES
Last Name:LANGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-4116
Mailing Address - Country:US
Mailing Address - Phone:360-915-6868
Mailing Address - Fax:360-547-6470
Practice Address - Street 1:418 E 1ST ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-4116
Practice Address - Country:US
Practice Address - Phone:360-915-6868
Practice Address - Fax:360-547-6470
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst