Provider Demographics
NPI:1649769415
Name:LANGSTON, KAITLIN (BCBA)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7500 SAN FELIPE ST. STE 99
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:281-826-3382
Mailing Address - Fax:425-491-7683
Practice Address - Street 1:32502 TAMINA RD STE 100
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-7451
Practice Address - Country:US
Practice Address - Phone:936-206-5158
Practice Address - Fax:346-229-1675
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst