Most Relevant Information
Provider Data
| NPI Number: | 1003521170 |
| Provider Name: | JAMIE YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2023 |
| Last Updated: | 01/23/2023 |
Provider Practice Location
1424 S MAIN ST STE 2
ADRIAN
MI
492214309
Practice Location Phone/Fax
| Phone: | 5173121711 |
| Fax: |
Provider Mailing Location
PO BOX 419885
BOSTON
MA
022419885
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |