Individual
AMANDA SUE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 4TH ST E APT 204, HASTINGS, MN 55033-1964
(651) 353-3766
Mailing address
208 4TH ST E APT 204, HASTINGS, MN 55033-1964
(651) 353-3766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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