William J Mitchell

NPI #1508630948 in Rexburg, Idaho

Provider Information

NPI Number
1508630948
Entity Type
Individual
Name
William J Mitchell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Nov 7, 2023
Last Updated
Nov 7, 2023

Practice Location

Address
859 S HWY 191
Address 2
#202
State
Idaho
ZIP Code
83440
Phone
(307) 257-5487

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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