Individual
TATYANA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7932 SUMMA AVE, BATON ROUGE, LA 70809-3736
(225) 349-7171
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y520785066247
MI
Other
Enumeration date
07/01/2019
Last updated
08/12/2019
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