Timothy Dewayne Young

NPI #1104103886 in Shawnee, Oklahoma

Provider Information

NPI Number: 1104103886
Entity Type: Individual
Name: Timothy Dewayne Young
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 9, 2011
Last Updated: Nov 9, 2011

Practice Location

Address: 1317 E WALLACE ST
City: Shawnee
State: Oklahoma
ZIP Code: 74801-6412
Phone: (405) 243-3798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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