Individual
BERNICE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2025 W 226TH ST, TORRANCE, CA 90505-9050
(310) 373-4556
Mailing address
4025 W 226TH ST, TORRANCE, CA 90505-2340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
247200000X
Other Technician
—
—
Other
Enumeration date
02/02/2017
Last updated
06/18/2021
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