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NPI Code Detail

MEDICARE: ANDREA CELESTE YOUNG

MEDICARE:   ANDREA CELESTE 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1770033029
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CELESTE YOUNG
Provider Business Mailing Address
First Line : 14333 PHILIPPINE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6913
Country : US
Telephone Number : 309-648-1837
Fax Number :
Provider Business Practice Location Address
First Line : 14333 PHILIPPINE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77040-6913
Country : US
Telephone Number : 309-648-1837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2016
Last Update Date : 10/11/2016

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Directions to “ ANDREA CELESTE YOUNG ” Practice Location

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