Individual
MISS CANESHA KEYUNNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1826 PENN ST, HUMBOLDT, TN 38343
(731) 414-3251
Mailing address
1826 PENN ST., 1826, HUMBOLDT, TN 38343
(731) 414-3251
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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