Individual
DESIREE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12009 NE 99TH ST STE 1430, VANCOUVER, WA 98682-2497
(360) 980-1733
(360) 991-0328
Mailing address
12009 NE 99TH ST STE 1430, VANCOUVER, WA 98682-2497
(360) 980-1733
(360) 991-0328
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB70055132
WA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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