Individual
JAMILLAH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 13TH ST, COLUMBUS, GA 31901-2248
(706) 225-0101
(706) 225-0052
Mailing address
1133 13TH ST, COLUMBUS, GA 31901-2248
(706) 225-0101
(706) 225-0052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-141334
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-141334
REGISTERED BEHAVIORAL TECHNICIAN
GA
Enumeration date
10/23/2020
Last updated
10/23/2020
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