Individual
KRISTINA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
6901 OLD YORK RD APT B115, PHILADELPHIA, PA 19126-2217
(267) 816-7522
Mailing address
6901 OLD YORK RD APT B115, PHILADELPHIA, PA 19126
(267) 816-7522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002980
PA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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