MR. Jerry Mixon, M.S. BCBA

NPI #1386048767 in Cottonwood, Alabama

Provider Information

NPI Number: 1386048767
Entity Type: Individual
Name: MR. Jerry Mixon, M.S. BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.S. BCBA
Enumeration Date: Oct 14, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 630 BJ MIXON RD
City: Cottonwood
State: Alabama
ZIP Code: 36320-5012
Phone: (334) 618-4963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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