Individual
JACE HARRISON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
180 N UNIVERSITY AVE STE 270180, PROVO, UT 84601-5647
(818) 641-6780
Mailing address
180 N UNIVERSITY AVE STE 270180, PROVO, UT 84601-5647
(818) 641-6780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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