Individual
MEREDITH REA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
4008 HYCLIFFE AVE, LOUISVILLE, KY 40207-3841
(502) 500-9507
(502) 458-4694
Mailing address
4008 HYCLIFFE AVE, LOUISVILLE, KY 40207-3841
(502) 500-9507
(502) 458-4694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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