Individual
MITCHELL THOMAS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1140 W. 1130 S., BUILDING B, OREM, UT 84058-2888
(801) 935-4171
(801) 935-4946
Mailing address
1140 W. 1130 S., BUILDING B, OREM, UT 84058-2888
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10382472-2506
UT
106S00000X
Behavior Technician
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—
Other
Enumeration date
08/06/2020
Last updated
11/14/2023
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