Individual
RILEY WAYNE MITCHELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
(479) 474-6446
Mailing address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
(479) 474-6446
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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