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NPI Code Detail

MEDICARE: MRS. MARILYN FELECIA YOUNG

MEDICARE: MRS. MARILYN FELECIA 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 TechnicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841940921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARILYN FELECIA YOUNG
Provider Business Mailing Address
First Line : 7363 GUM TREE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-4270
Country : US
Telephone Number : 904-377-8573
Fax Number :
Provider Business Practice Location Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 904-503-0131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 08/16/2024

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