Individual
ALEXANDRA LAYNE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 S VINE ST, DENVER, CO 80210-5264
(303) 871-3626
Mailing address
2054 S CORONA AVE, COLORADO SPRINGS, CO 80905-2737
(769) 232-4572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-79225
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
04/30/2020
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