Individual
BRENNA SHAE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2916 PEACH BLOSSOM DR STE 104, JEFFERSONVILLE, IN 47130-8380
(812) 202-6144
(800) 990-2526
Mailing address
3006 EASTPOINT PKWY, LOUISVILLE, KY 40223-4185
(502) 795-0773
(800) 990-2526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68268
IN
106S00000X
Behavior Technician
RBT-20-131148
KY
Other
Enumeration date
09/09/2020
Last updated
07/16/2025
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