Individual
DAPHNE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5450 W FERDINAND ST, CHICAGO, IL 60644-1938
(773) 816-0464
Mailing address
5450 W FERDINAND ST, CHICAGO, IL 60644-1938
(773) 816-0464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42305
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
12/30/2015
Last updated
05/11/2021
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