Individual
MARKESHA ANTOINETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 BUCKS RUN RD UNIT 102, LOUISVILLE, KY 40219-3324
(502) 919-1312
Mailing address
4000 BUCKS RUN RD UNIT 102, LOUISVILLE, KY 40219-3324
(502) 919-1312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S05-294-117
KY
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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