Individual
MIKAELA NICOLE JONES MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1800 NEVILLE DR, LOUISVILLE, KY 40216-3820
(502) 203-1396
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 805-1511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-317437
KY
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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