Individual
MADISON MECHELLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 NE DOCTORS DR, BEND, OR 97701-7111
(541) 224-6987
Mailing address
55963 WOOD DUCK DR, BEND, OR 97707-2344
(760) 707-9223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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