Individual
DOMINIQUE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620A BUENA VISTA PIKE, NASHVILLE, TN 37218-2302
(217) 775-9545
Mailing address
2620A BUENA VISTA PIKE, NASHVILLE, TN 37218-2302
(217) 775-9545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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