Individual
JAY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(614) 615-5145
Mailing address
3717 LAKE MEAD DR, GROVE CITY, OH 43123-8569
(614) 448-6059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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