Individual
MR. BLAKE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
506 N MAIN ST, HINESVILLE, GA 31313-2512
(615) 560-6622
Mailing address
506 N MAIN ST, HINESVILLE, GA 31313-2512
(615) 560-6622
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
GA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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