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Individual

MACKENZIE RENEE EHALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT, SRNA

Contact information

Practice address
10720 PLANTSIDE DR, LOUISVILLE, KY 40299-3894
(502) 260-5571
Mailing address
5205 BAYWOOD DR, LOUISVILLE, KY 40241-1314
(502) 644-1198

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-518272
KY
376K00000X
Nurse's Aide
4047740
KY

Other

Enumeration date
08/06/2026
Last updated
08/06/2026
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