Individual
JESSICA L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1211 BRADLEY RD, SEVERN, MD 21144-2786
(301) 346-5394
Mailing address
PO BOX 164, SEVERN, MD 21144-0164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA517
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/19/2017
Last updated
10/29/2018
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