Individual
JACOB A. YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1023 SUNNYBROOK LN, ENID, OK 73703-6508
(580) 540-4163
(580) 297-5204
Mailing address
1023 SUNNYBROOK LN, ENID, OK 73703-6508
(580) 540-4163
(580) 297-5204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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