Individual
JANE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 S 21ST AVE, HATTIESBURG, MS 39401-7320
(601) 325-7293
Mailing address
319 S 21ST AVE, HATTIESBURG, MS 39401-7320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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