Provider Demographics
NPI:1174818652
Name:YOUNG, ADRIANA PINILLA (MED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:PINILLA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:MISS
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:PINILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:2009 WRENS NEST RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3663
Mailing Address - Country:US
Mailing Address - Phone:240-882-8881
Mailing Address - Fax:
Practice Address - Street 1:9201 ARBORETUM PKWY STE 160
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-5402
Practice Address - Country:US
Practice Address - Phone:804-912-1338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-09-5002103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst