Individual
JESSICA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5163 CLEVELAND ST, VIRGINIA BEACH, VA 23462-6501
(434) 485-2690
(434) 237-1737
Mailing address
2609 LUZERNE CIR, VIRGINIA BEACH, VA 23453-3646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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