Andrea Mitchell
Behavior Technician in Dorchester, MA. Individual provider (NPI-1).
NPI number1659904662
StatusActive
Last updated in NPPESFeb 18, 2020
Details
- NPI
- 1659904662
- Entity type
- Individual (NPI-1)
- Name
- Andrea Mitchell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2020
- Certification date
- Feb 18, 2020
- Last updated
- Feb 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
33 East StDorchester, MA 02122-3087
Phone 617-602-0082
Mailing address
10 Gill StWoburn, MA 01801-1721
Phone 617-505-6183
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