Individual
MISS KRISTEN MARIE MITSCHELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9404 SHELLFISH CT, LAS VEGAS, NV 89117-0267
(702) 981-1153
Mailing address
9404 SHELLFISH CT, LAS VEGAS, NV 89117-0267
(702) 981-1153
(702) 974-4555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1602830862
NV
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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