Individual
BREANNA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2301 W BRADLEY AVE, CHAMPAIGN, IL 61821-1849
(574) 387-4313
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(574) 387-4313
(574) 204-2868
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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