Individual
KIM EUGENE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 986-9644
Mailing address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 986-9644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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