Individual
ACIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 HOLLYWOOD BLVD STE 303, HOLLYWOOD, FL 33021-6797
(954) 822-4175
Mailing address
3900 HOLLYWOOD BLVD STE 303, HOLLYWOOD, FL 33021-6797
(954) 822-4175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-316325
FL
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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