Individual
ANTONIA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2271 IRVING WAY, #201, DECATUR, GA 30033
(866) 523-4268
Mailing address
2571 CANDLER RD APT D6, DECATUR, GA 30032-6507
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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