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Individual

KAITLIN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8317 WHITLEY RD, WATAUGA, TX 76148-2483
(817) 562-0300
Mailing address
8317 WHITLEY RD, WATAUGA, TX 76148-2483
(817) 562-0300

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-21-158638
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-21-158638
BACB
TX
Enumeration date
03/26/2021
Last updated
02/16/2023
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