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Individual

JERICHA MITCHEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8415 PINEVILLE MATTHEWS RD, CHARLOTTE, NC 28226-4704
(706) 842-5330
(706) 842-5340
Mailing address
209 7TH ST FL 3, AUGUSTA, GA 30901-1486
(706) 842-5330
(706) 842-5340

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-71781
GA
103K00000X
Behavior Analyst
Primary
4016
NC
106S00000X
Behavior Technician
RBT-21-175847
SC

Other

Enumeration date
08/16/2021
Last updated
06/10/2026
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