Individual
MELISSA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2585 W LAKE DR, DELAND, FL 32724-3282
(407) 617-4954
Mailing address
2585 W LAKE DR, DELAND, FL 32724-3282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
FL
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
252Y00000X
Early Intervention Provider Agency
—
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111966400
—
FL
05
—
1154673325
—
FL
05
—
1154673335
—
FL
Enumeration date
10/11/2012
Last updated
02/13/2025
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