Healthcare Provider Details

I. General information

NPI: 1821928474
Provider Name (Legal Business Name): PATIENCE YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21234 SPRINGBROOK HOLLOW CT
SPRING TX
77379-1941
US

IV. Provider business mailing address

21234 SPRINGBROOK HOLLOW CT
SPRING TX
77379-1941
US

V. Phone/Fax

Practice location:
  • Phone: 985-791-7816
  • Fax:
Mailing address:
  • Phone: 985-791-7816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberRBT-24-336865
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: