Individual
MARY THERESA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5787 GRAND TETON LOOP, ANCHORAGE, AK 99502-4057
(907) 227-9116
Mailing address
5787 GRAND TETON LOOP, ANCHORAGE, AK 99502-4057
(907) 227-9116
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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