Individual
AMANDA JO YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 E 2ND ST, MOUNTAIN GROVE, MO 65711-1749
(417) 256-2570
Mailing address
219 E 2ND ST, MOUNTAIN GROVE, MO 65711-1749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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