Individual
NY'ASIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1820 1ST DR, CHARLESTON, SC 29407-5756
(843) 343-6948
(888) 808-4249
Mailing address
PO BOX 80901, CHARLESTON, SC 29416-0901
(843) 343-6948
(888) 808-4249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
8885473431295931
SC
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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