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General NPI Number Information
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NPI Number | 1124378526
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Entity Type | Individual
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Provider Name | MELISSA YOUNGREN RN, BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 200 ELFORD CT
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City | SPARTANBURG
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State | SC
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Zip | 29306-3250
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Country | US
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Telephone | 864-676-0028
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Fax | 864-476-0033
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Provider Business Mailing Address
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Address Line | 200 ELFORD CT
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City | SPARTANBURG
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State | SC
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Zip | 29306-3250
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Country | US
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Telephone | 864-676-0028
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Fax | 864-476-0033
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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 | 12477487
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License Number State |
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