Individual
EMMA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6610 S WISCONSIN AVE, GAYLORD, MI 49735
(231) 268-0336
Mailing address
4475 DENNIS AVE, LEWISTON, MI 49756-8885
(228) 341-0303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001001
MI
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
02/09/2026
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