Individual
MANDIE KAE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 22ND ST, PARKERSBURG, WV 26101-3429
(304) 494-5184
Mailing address
1218 22ND ST, PARKERSBURG, WV 26101-3429
(304) 494-5184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/21/2011
Last updated
11/19/2025
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