Individual
KENDRA M SMITH-WEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
5001 SUMERLIN CT, BUCKNER, KY 40010-8845
(502) 500-0646
Mailing address
5001 SUMERLIN CT, BUCKNER, KY 40010-8845
(502) 500-0646
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
245074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-29166
BACB
—
Enumeration date
06/25/2019
Last updated
06/25/2019
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