Kenna Maynard

NPI #1265121388 in Mount Sterling, Kentucky

Provider Information

NPI Number: 1265121388
Entity Type: Individual
Name: Kenna Maynard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 4, 2023
Last Updated: May 4, 2023

Practice Location

Address: 805 ALEXA DR
City: Mount Sterling
State: Kentucky
ZIP Code: 40353-1000
Phone: (512) 772-4042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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