Individual
MITCHELL RYAN DOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7594 W SAND LAKE RD, ORLANDO, FL 32819-5188
(800) 875-1871
(800) 875-1871
Mailing address
11983 TAMIAMI TRL N # 121, NAPLES, FL 34110-1603
(800) 875-1871
(800) 875-1871
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
21-176093
FL
106E00000X
Assistant Behavior Analyst
Primary
21-176093
FL
Other
Enumeration date
03/23/2022
Last updated
09/11/2024
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