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Individual
JERICHA MITCHEM
Active
Individual
JERICHA MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-71781
GA
103K00000X
Behavior Analyst
Primary
4016
NC
106S00000X
Behavior Technician
RBT-21-175847
SC
Other
Enumeration date
08/16/2021
Last updated
06/10/2026
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