Individual
MRS. MINDY MICHELLE MOGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
317 RIVERSIDE DR, EUFAULA, AL 36027
(334) 618-3302
Mailing address
317 RIVERSIDE DR, EUFAULA, AL 36027
(334) 618-3302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-234268
22-234268
AL
Enumeration date
09/21/2022
Last updated
09/21/2022
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