Individual
KAYLEEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RBT
Contact information
Practice address
3711 RUPP DR STE 200, FORT WAYNE, IN 46815-4523
(419) 695-8010
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-361292
IN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
11/17/2025
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