Individual
MAKAYLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
215 S HURSTBOURNE PKWY STE 213, LOUISVILLE, KY 40222-4937
(502) 353-2074
Mailing address
2100 S FLOYD ST # W119, LOUISVILLE, KY 40208-2805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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