MEDICARE: MRS. ADRIANA PINILLA YOUNG M.ED, BCBA

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	1-09-5002

General Provider Information

NPI Number	:	1174818652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADRIANA PINILLA YOUNG M.ED, BCBA

Provider Business Mailing Address
First Line	:	2009 WRENS NEST RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-3663
Country	:	US
Telephone Number	:	240-882-8881
Fax Number	:

Provider Business Practice Location Address
First Line	:	9201 ARBORETUM PKWY STE 160
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-5402
Country	:	US
Telephone Number	:	804-912-1338
Fax Number	:

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

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	05/08/2020

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