Individual
STEFANIE SHANNON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA LABA
Contact information
Practice address
73 NEWBURY ST, STE 400, BOSTON, MA 02116-3042
(617) 839-3707
Mailing address
73 NEWBURY ST, STE 400, BOSTON, MA 02116-3042
(617) 839-3707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5575
MA
103K00000X
Behavior Analyst
816
MA
Other
Enumeration date
10/08/2015
Last updated
10/25/2016
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