Healthcare Provider Details

I. General information

NPI: 1093397606
Provider Name (Legal Business Name): ABBY LEIGH YOUNG BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 PAINT ROCK RD STE 3
ONEIDA TN
37841-6083
US

IV. Provider business mailing address

804 DEER RUN RD
ONEIDA TN
37841-2547
US

V. Phone/Fax

Practice location:
  • Phone: 423-374-1009
  • Fax: 423-702-6257
Mailing address:
  • Phone: 423-215-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-48485
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: