Individual
HOLLEY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 JEFFERSON CT, CORAM, NY 11727-3905
(631) 672-7298
Mailing address
21 JEFFERSON CT, CORAM, NY 11727-3905
(631) 672-7298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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