Individual
ALYSSA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 WARREN AVE, LAKE CHARLES, LA 70601-8862
(337) 661-4041
Mailing address
2912 WARREN AVE, LAKE CHARLES, LA 70601-8862
(337) 661-4041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011502502
LA
Other
Enumeration date
04/05/2025
Last updated
05/12/2025
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