Individual
ANDREA RAE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
601 E PIONEER AVE STE 203, HOMER, AK 99603-7694
(907) 435-1071
Mailing address
4103 MATTOX RD APT 3, HOMER, AK 99603-7245
(907) 630-0277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-374748
AK
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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