Diane Young
Developmental Therapist in Orlando, FL. Individual provider (NPI-1).
NPI number1558097261
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1558097261
- Entity type
- Individual (NPI-1)
- Name
- Diane Young
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2022
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
6900 Tavistock Lakes Blvd Ste 400Orlando, FL 32827-7593
Phone 518-921-2254
Mailing address
7917 Timberlake DrWest Melbourne, FL 32904-2151
Phone 518-921-2254
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