Provider Demographics
NPI:1093397606
Name:YOUNG, ABBY LEIGH (BCBA)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LEIGH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-2547
Mailing Address - Country:US
Mailing Address - Phone:423-215-8080
Mailing Address - Fax:
Practice Address - Street 1:398 PAINT ROCK RD STE 3
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-6083
Practice Address - Country:US
Practice Address - Phone:423-374-1009
Practice Address - Fax:423-702-6257
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-21-48485103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst