Individual
MICHELE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 5TH AVE, WALL TOWNSHIP, NJ 07719-3252
(609) 923-7701
Mailing address
613 ALSACE LANE, FORT MILL, SC 29708
(609) 923-7701
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1106918
SC
Other
Enumeration date
09/09/2014
Last updated
02/07/2025
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