Individual
JESSICA LETASHA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT, THERAPIST
Contact information
Practice address
10271 CHATEAU RD, OLIVE BRANCH, MS 38654-7961
(662) 420-2778
Mailing address
10271 CHATEAU RD, OLIVE BRANCH, MS 38654-7961
(662) 420-2778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
800831661
MS
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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