Individual
JENNIFER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1000 HOLCOMB WOODS PKWY, SUITE 440, ROSWELL, GA 30076-2575
(404) 931-8816
Mailing address
1000 HOLCOMB WOODS PKWY, SUITE 440, ROSWELL, GA 30076-2575
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19260
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19260
BCBA
GA
Enumeration date
08/17/2015
Last updated
08/17/2015
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