Individual
MS. MIRANDA ALEXIS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ANDREA LN, CHESAPEAKE, VA 23320-6902
(757) 474-5870
Mailing address
200 ANDREA LN, CHESAPEAKE, VA 23320-6902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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