Individual
ISAIAH MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10210 DAVINHURST CT, LOUISVILLE, KY 40241-1188
(502) 641-5872
Mailing address
10210 DAVINHURST CT, LOUISVILLE, KY 40241-1188
(502) 641-5872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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