Individual
MICHAEL J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 HURON ST APT 2, BROOKLYN, NY 11222-5836
(404) 663-3634
Mailing address
155 HURON ST APT 2, BROOKLYN, NY 11222-5836
(404) 663-3634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
119-402-1782
NY
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
01/31/2011
Last updated
10/21/2024
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