Individual
KAITLIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3243 ELECTRIC ROAD, BUILDING E SUITE 1B, ROANOKE, VA 24018
(540) 404-1189
(540) 904-0096
Mailing address
3243 ELECTRIC ROAD, BUILDING E SUITE 1B, ROANOKE, VA 24018
(540) 404-1189
(540) 904-0096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-57396
—
106S00000X
Behavior Technician
Primary
RBT-18-57695
VA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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