Marisa Christine Young

NPI #1417429366 in Mc Lean, Virginia

Provider Information

NPI Number: 1417429366
Entity Type: Individual
Name: Marisa Christine Young
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 1651 OLD MEADOW RD
Address 2: STE 600
City: Mc Lean
State: Virginia
ZIP Code: 22102-4389
Phone: (703) 564-1639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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