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1336603935
AMANDA NICOLE YOUNG
FORT WAYNE, IN
NPI
1336603935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2019-01-28
Last Update Date
2024-09-16
Business Address
AMANDA NICOLE YOUNG MA, BCBA
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: 260-497-0328
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Mailing Address
AMANDA NICOLE YOUNG MA, BCBA
2270 LAKE AVE
FORT WAYNE, IN 46805-5359
Phone number: 260-444-5649
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