Individual
STASIA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 THAXTON AVE SE, ALBUQUERQUE, NM 87108-4356
(505) 329-5590
Mailing address
3803 THAXTON AVE SE, ALBUQUERQUE, NM 87108-4356
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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