Individual
JENNA SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 CEDAR GROVE RD STE 5-7, SHEPHERDSVILLE, KY 40165-8572
(502) 203-1354
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S11-093-055
KY
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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