Individual
JAYDEN RANDALL YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
1050 W JOHNSON DR, TERRE HAUTE, IN 47802-5508
(812) 233-8833
Mailing address
1800 S 22ND ST, TERRE HAUTE, IN 47802-2619
(217) 251-6967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63515
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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