Individual
MAIYANIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2349
(888) 515-1793
Mailing address
5123 FAY AVE, LOUISVILLE, KY 40214-2728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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