Individual
HEAVEN LEI MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 STRICKLIN RD, CULLMAN, AL 35057-3305
(256) 469-8493
Mailing address
490 COUNTY ROAD 1122, VINEMONT, AL 35179-6532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34012
AL
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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