Healthcare Provider Details
I. General information
NPI: 1669340014
Provider Name (Legal Business Name): ASHLYN MAKAY YOUNG RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/27/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
305 N HEATHERWILDE BLVD STE 340-350
PFLUGERVILLE TX
78660-3757
US
IV. Provider business mailing address
305 N HEATHERWILDE BLVD STE 340-350
PFLUGERVILLE TX
78660-3757
US
V. Phone/Fax
- Phone: 512-305-3826
- Fax:
- Phone: 512-305-3826
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-25-86458 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-22-243729 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: