Individual
DIANE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(518) 921-2254
Mailing address
7917 TIMBERLAKE DR, WEST MELBOURNE, FL 32904-2151
(518) 921-2254
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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