Individual
CELESE RENADA MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
1230 LIBERTY BANK LN STE 230, LOUISVILLE, KY 40222-5756
(502) 856-7417
Mailing address
4025 LANDHERR DR, LOUISVILLE, KY 40299-4471
(502) 593-8590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-22662
IN
103K00000X
Behavior Analyst
1-16-22662
KY
103K00000X
Behavior Analyst
Primary
173224
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-22662
BCBA CERTIFICATE
—
Enumeration date
11/23/2013
Last updated
04/22/2026
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