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NPI Code Detail

MEDICARE: LAUREN YOUNG

MEDICARE: LAUREN YOUNG
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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1710704564
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN YOUNG
Provider Business Mailing Address
First Line : 2804 GLENDALE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-1404
Country : US
Telephone Number : 314-792-8108
Fax Number :
Provider Business Practice Location Address
First Line : 3859 FEE FEE RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2937
Country : US
Telephone Number : 314-410-9670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2024
Last Update Date : 09/23/2024

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Directions to “ LAUREN YOUNG ” Practice Location

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