Dominique Young

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2620A Buena Vista Pike
Nashville, TN 37218-2302

Phone

(217) 775-9545

NPI assigned

Nov 6, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1356164594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620A BUENA VISTA PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372182302",
            "telephone_number": "217-775-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620A BUENA VISTA PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372182302",
            "telephone_number": "217-775-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "address_1": "2620A Buena Vista Pike",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372182302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Simone Young
• Christopher Lee Young, DDS
• Courtney Young
• David Young, M.D.
• Deann Marie Young, PTA
• Ethan Young
• Grant Young, CRNA
• Haylee Diane Young, APRN
• Hayley Young
• Henry L. Young Jr., DDS, MS

• Behavior Technician in Nashville, TN
• Providers in Nashville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.