Individual
DEJON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12753 PLANK RD APT 8, BAKER, LA 70714-4946
(346) 260-1847
Mailing address
12753 PLANK RD APT 8, BAKER, LA 70714-4946
(346) 260-1847
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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