Provider Demographics
NPI:1568291110
Name:YOUNG, DARMARIUS LEVELL
Entity type:Individual
Prefix:MR
First Name:DARMARIUS
Middle Name:LEVELL
Last Name:YOUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3790 GUESS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6916
Mailing Address - Country:US
Mailing Address - Phone:919-294-6001
Mailing Address - Fax:
Practice Address - Street 1:3790 GUESS RD STE 102
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6916
Practice Address - Country:US
Practice Address - Phone:919-294-6001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician