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Individual

MARK NEESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA, LCSW

Contact information

Practice address
3432 ILLINOIS AVE, LOUISVILLE, KY 40213-1018
(502) 435-9226
(502) 634-1170
Mailing address
11121 BLADE CREST WAY, LOUISVILLE, KY 40291-5076
(502) 435-9226
(502) 384-0131

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-08-4859
1041C0700X
Clinical Social Worker
Primary
1239
KY

Other

Enumeration date
05/04/2010
Last updated
02/02/2014
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