Young Mitrisin

NPI #1023633161 in Northbrook, Illinois

Provider Information

NPI Number: 1023633161
Entity Type: Individual
Name: Young Mitrisin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 15, 2020
Last Updated: Jun 15, 2020

Practice Location

Address: 85 REVERE DR
City: Northbrook
State: Illinois
ZIP Code: 60062-8001
Phone: (844) 247-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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