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Individual

ANDREA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
4302 N WEBER ST APT D, COLORADO SPRINGS, CO 80907-4357
(719) 359-1688
Mailing address
4302 N WEBER ST APT D, COLORADO SPRINGS, CO 80907-4357
(719) 359-1688

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
16-22927
CO
106S00000X
Behavior Technician

Other

Enumeration date
08/04/2016
Last updated
02/13/2018
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