Individual
MICHAEL MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
1320 E HIGHLAND AVE APT 48, PHOENIX, AZ 85014-3736
(623) 387-3151
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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