Individual
SAMANTHA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 BROADWAY, CLARK, NJ 07066-1845
(732) 439-3178
Mailing address
156 BROADWAY, CLARK, NJ 07066-1845
(732) 439-3178
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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