Individual
JOSHUA ADAM YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3621 WYNN DR, APT 64, EDMOND, OK 73013-4641
(580) 917-8712
Mailing address
3621 WYNN DR, APT 64, EDMOND, OK 73013-4641
(580) 917-8712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
K082023562
OK
Other
Enumeration date
05/28/2012
Last updated
05/28/2012
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