Individual
MERREDITH NOELLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W 1ST ST STE 100, ANKENY, IA 50023-1751
(515) 261-2402
(515) 414-7642
Mailing address
220 W 1ST ST STE 100, ANKENY, IA 50023-1751
(515) 261-2402
(515) 414-7642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822272447
PRIVATE INSURANCE
IA
Enumeration date
09/15/2022
Last updated
09/15/2022
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