Individual
ALLISON ANNE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4224 28TH ST N, ST PETERSBURG, FL 33714-3922
(727) 544-4700
Mailing address
1601 5TH ST N APT A3, ST PETERSBURG, FL 33704-4358
(561) 294-2663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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