Audrey Marie Mitchell

NPI #1952083511 in Southlake, Texas

Provider Information

NPI Number: 1952083511
Entity Type: Individual
Name: Audrey Marie Mitchell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 2815 EXCHANGE BLVD STE 100
City: Southlake
State: Texas
ZIP Code: 76092-7515
Phone: (817) 617-8873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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