Individual
MRS. KELLYN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-4962
Mailing address
1182 PLUNKETT WAY, LAWRENCEVILLE, GA 30043-5289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74350
GA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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