Individual
LILLIAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 FORTUNE DR STE 195, LEXINGTON, KY 40509-4261
(859) 899-9200
Mailing address
120 E MAIN ST APT 1908, LEXINGTON, KY 40507-1346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-350164
KY
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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