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Individual

BRANDON MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
1700 TURNER RD, NORTH CHESTERFIELD, VA 23225-6941
(804) 523-6202
(804) 447-4669
Mailing address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 523-8099
(540) 400-8808

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT21-164782
VA

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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