Mallory Casey Mitchell
Behavior Technician in Elk River, MN. Individual provider (NPI-1).
NPI number1124776331
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1124776331
- Entity type
- Individual (NPI-1)
- Name
- Mallory Casey Mitchell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2022
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
19437 Evans St NwElk River, MN 55330-1074
Phone 763-515-3532 · Fax 763-515-6282
Mailing address
19437 Evans St NwElk River, MN 55330-1074
Phone 763-515-3532 · Fax 763-515-6282
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All 208 Behavior Technician providers in Elk River · All 706 providers in Elk River
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