MR. Carson Mitchell

NPI #1285154195 in Herriman, Utah

Provider Information

NPI Number: 1285154195
Entity Type: Individual
Name: MR. Carson Mitchell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 21, 2017
Last Updated: Jun 21, 2017

Practice Location

Address: 13947 S NEWBURG DR.
City: Herriman
State: Utah
ZIP Code: 84096
Phone: (801) 506-6695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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