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Individual

MRS. NATALIE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
225 SMITHVILLE CHURCH RD STE 1100, WARNER ROBINS, GA 31088-9097
(478) 508-1970
Mailing address
225 SMITHVILLE CHURCH RD STE 1100, WARNER ROBINS, GA 31088-9097
(800) 832-9419

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47564

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-21-47564
BACB
Enumeration date
02/13/2018
Last updated
07/31/2024
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