Healthcare Provider Details

I. General information

NPI: 1104763028
Provider Name (Legal Business Name): NATRELL MITCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 GRANDE OAK BLVD
SARALAND AL
36571-3716
US

IV. Provider business mailing address

1311 OIL CENTER DR
NEW IBERIA LA
70560-7159
US

V. Phone/Fax

Practice location:
  • Phone: 337-441-1208
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: