Individual
RAVEN A MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 N GRANVILLE RD APT 106, MILWAUKEE, WI 53224-2329
(414) 239-1243
Mailing address
8401 N GRANVILLE RD APT 106, MILWAUKEE, WI 53224-2329
(414) 239-1243
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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