Individual
BRENNA KRIVASHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
851 S 4TH ST, LOUISVILLE, KY 40203-2115
(502) 585-9925
Mailing address
851 S 4TH ST, LOUISVILLE, KY 40203-2115
(502) 585-9925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
09/14/2018
Last updated
07/28/2023
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