Provider Demographics
NPI:1053955088
Name:LANG, CORY FRANCOIS (RBT)
Entity type:Individual
Prefix:MR
First Name:CORY
Middle Name:FRANCOIS
Last Name:LANG
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8326 KELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4803
Mailing Address - Country:US
Mailing Address - Phone:985-373-1285
Mailing Address - Fax:
Practice Address - Street 1:118 VILLAGE ST STE A
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5302
Practice Address - Country:US
Practice Address - Phone:985-373-1285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-02
Last Update Date:2024-11-15
Deactivation Date:2022-06-16
Deactivation Code:
Reactivation Date:2022-07-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator