Individual
DALLAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6460 CENTERVILLE BUSINESS PKWY, CENTERVILLE, OH 45459-2633
(937) 265-8151
Mailing address
6460 CENTERVILLE BUSINESS PKWY, CENTERVILLE, OH 45459-2633
(937) 265-8151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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