Antonia Marie Young

NPI #1609345453 in Evanston, Illinois

Provider Information

NPI Number: 1609345453
Entity Type: Individual
Name: Antonia Marie Young
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 630 EMERSON ST RM 311
City: Evanston
State: Illinois
ZIP Code: 60201-3810
Phone: (612) 730-3861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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