Individual
AMEYA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11540 S PARNELL AVE, CHICAGO, IL 60628-5319
(773) 997-9879
Mailing address
11540 S PARNELL AVE, CHICAGO, IL 60628-5319
(773) 997-9879
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/24/2021
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