Provider Demographics
NPI:1891598108
Name:LANG, JOCELYN ALYCE
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:ALYCE
Last Name:LANG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 S INTERSTATE 35 STE 190
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-8015
Mailing Address - Country:US
Mailing Address - Phone:737-708-8003
Mailing Address - Fax:737-708-8022
Practice Address - Street 1:2400 S INTERSTATE 35 STE 190
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8015
Practice Address - Country:US
Practice Address - Phone:737-708-8003
Practice Address - Fax:737-708-8022
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician