Individual
SHANNON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 GALLOWAY ST NE APT 347S, WASHINGTON, DC 20011-6399
(703) 400-5304
Mailing address
400 GALLOWAY ST NE APT 347S, WASHINGTON, DC 20011-6399
(703) 400-5304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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