Shannon Mitchell

NPI #1093537805 in Itasca, Illinois

Provider Information

NPI Number: 1093537805
Entity Type: Individual
Name: Shannon Mitchell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 31, 2024
Last Updated: Oct 31, 2024

Practice Location

Address: 975 W HAWTHORN DR
City: Itasca
State: Illinois
ZIP Code: 60143-2056
Phone: (808) 844-1232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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