Individual
ANNISA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 CHASTAIN MEADOWS PKWY NW STE 200, KENNESAW, GA 30144-5881
(678) 648-7644
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-448112
GA
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
02/18/2025
Last updated
03/26/2026
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