Individual
TANNER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
300 PARK WEST DR, SCOTT, LA 70583-8911
(337) 233-1167
Mailing address
300 PARK WEST DR, SCOTT, LA 70583-8911
(337) 233-1167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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