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NPI Code Detail

MEDICARE: TAYAH MICHELLE YOUNG

MEDICARE: TAYAH MICHELLE 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
1106S00000XBehavior TechnicianMD

General Provider Information

NPI Number : 1841135415
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYAH MICHELLE YOUNG
Provider Business Mailing Address
First Line : 12530 FAIRWOOD PKWY STE 102
Second Line :
City : BOWIE
State : MD
Zip : 20720-6357
Country : US
Telephone Number : 301-615-2111
Fax Number :
Provider Business Practice Location Address
First Line : 12530 FAIRWOOD PKWY STE 102
Second Line :
City : BOWIE
State : MD
Zip : 20720-6357
Country : US
Telephone Number : 301-615-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ TAYAH MICHELLE YOUNG ” Practice Location

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