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General NPI Number Information
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NPI Number | 1093397606
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Entity Type | Individual
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Provider Name | ABBY LEIGH YOUNG BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 398 PAINT ROCK RD STE 3
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City | ONEIDA
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State | TN
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Zip | 37841-6083
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Country | US
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Telephone | 423-374-1009
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Fax | 423-702-6257
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Provider Business Mailing Address
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Address Line | 804 DEER RUN RD
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City | ONEIDA
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State | TN
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Zip | 37841-2547
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Country | US
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Telephone | 423-215-8080
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-48485
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License Number State |
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