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Mackenize Rutherford

Behavior Technician in Richmond, KY. Individual provider (NPI-1).

NPI number1104770106
StatusActive
Last updated in NPPESFeb 25, 2026

Details

NPI
1104770106
Entity type
Individual (NPI-1)
Name
Mackenize Rutherford
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2026
Certification date
Feb 25, 2026
Last updated
Feb 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

116 Bayview Dr
Richmond, KY 40475-7511

Phone 859-575-4442

Mailing address

500 Mount Rushmore Dr Apt 1
Richmond, KY 40475-7892

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