Individual
AINSLEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 MEDICAL CENTER DR STE F, MCKINNEY, TX 75069-1771
(469) 731-0957
Mailing address
6501 MEYER WAY APT 7172, MCKINNEY, TX 75070-1502
(214) 212-0539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41953
—
106S00000X
Behavior Technician
RBT-15-09749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-41953
BCBA
TX
Enumeration date
03/23/2018
Last updated
05/18/2020
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