Individual
MARY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6158 BELMONT SHORES ST, LAS VEGAS, NV 89115-6005
(702) 502-2504
Mailing address
6158 BELMONT SHORES ST, LAS VEGAS, NV 89115-6005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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