Individual provider · Type 1 NPI

Tiarra Wells-Young

Developmental Therapist · Jacksonville, FL

NPI number 1104527241 Active

Practice location

660 Spanish Wells Rd
Jacksonville, FL 32218-8926

Fax (904) 770-5596

Mailing address

3223 Academy Park Pl
Jacksonville, FL 32218-6550

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1104527241

Tiarra Wells-Young's National Provider Identifier is 1104527241, issued on Mar 15, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 15, 2023.