Individual
JENNIFER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QASP
Contact information
Practice address
2000 CHEATHAM DAM RD, CHARLOTTE, TN 37036-5033
(615) 545-0864
Mailing address
2000 CHEATHAM DAM RD, CHARLOTTE, TN 37036-5033
(615) 545-0864
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
8241
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8241
QUALIFIED AUTISM SERVICES PROVIDER (QASP) CERTIFICATION THROUGH QABA
—
01
—
RBT-15-10623
REGISTERED BEHAVIOR TECHNICIAN (RBT) THROUGH BACB
—
Enumeration date
10/15/2016
Last updated
10/15/2016
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