Individual
JAKAYLA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5221 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5190
(217) 292-1983
Mailing address
5221 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5190
(217) 381-0604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
02/09/2026
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