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NPI Code Detail

MEDICARE: JOSEPH ROMAN YOUNG III

MEDICARE: JOSEPH ROMAN YOUNG III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1326999087
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ROMAN YOUNG III
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 855-223-7123
Provider Business Practice Location Address
First Line : 2450 MARTIN RD STE 100
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-1018
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 03/04/2026

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