MEDICARE: SAVANNAH YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-26-90421	NC

General Provider Information

NPI Number	:	1053282814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH YOUNG

Provider Business Mailing Address
First Line	:	4235 S STREAM BLVD STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-0143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 GATEWAY CENTRE BLVD STE 150
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-6230
Country	:	US
Telephone Number	:	919-364-0735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	06/10/2026

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Directions to “ SAVANNAH YOUNG ” Practice Location

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