Individual
DIAMANTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154477
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200959820A
—
OK
Enumeration date
02/11/2021
Last updated
03/03/2021
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