Derek John Mitzel

NPI #1104309913 in Aurora, Colorado

Provider Information

NPI Number: 1104309913
Entity Type: Individual
Name: Derek John Mitzel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 8, 2018
Last Updated: Sep 8, 2018

Practice Location

Address: 2121 S BLACKHAWK ST STE 100
City: Aurora
State: Colorado
ZIP Code: 80014-1488
Phone: (720) 545-0768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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