Individual
EVAN WALLACE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 BAGBY RD, CRITTENDEN, KY 41030-8957
(859) 391-1344
Mailing address
840 BAGBY RD, CRITTENDEN, KY 41030-8957
(859) 391-1344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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