Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-17-27294 | IL |
NPI | 1003334723 |
---|---|
Provider Name | Ms. Lauren K Young |
First Address | Chicago, IL 60631-3524 |
Second Address | Chicago, IL 60631-3524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2017 |
Last Update Date | 23/07/2021 |