Individual
MITCHELL MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2959 S MERIDIAN RD, MERIDIAN, ID 83642-7961
(208) 871-2102
Mailing address
2172 E TIMBER TRAIL ST, KUNA, ID 83634-2145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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