DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EDWARD MITCHELL

MEDICARE: EDWARD MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1104786938
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD MITCHELL
Provider Business Mailing Address
First Line : 2033 LEWIS AVE STE 304
Second Line :
City : ARCATA
State : CA
Zip : 95521-5446
Country : US
Telephone Number : 918-471-7292
Fax Number :
Provider Business Practice Location Address
First Line : 901 O ST STE C
Second Line :
City : ARCATA
State : CA
Zip : 95521-5789
Country : US
Telephone Number : 707-497-9335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2025
Last Update Date : 03/05/2026

Similar Medicare Providers

1659731966 — JULIE SANBORN
Practice Location Address:
901 O ST , SUITE C
ARCATA, CA
95521-5789
Practice Phone: 707-826-0872
Practice Fax:
1669917076 — CHRISTINE MICHELLE GORSHE-OLSEN BCBA
Practice Location Address:
901 O ST STE C
ARCATA, CA
95521-5789
Practice Phone: 707-826-0872
Practice Fax:
1629500343 — MELANI ABERCROMBIE
Practice Location Address:
901 O ST , STE C
ARCATA, CA
95521-5789
Practice Phone: 707-826-0872
Practice Fax:
1134639214 — AUTUMN NOWLAND
Practice Location Address:
901 O ST , SUITE C
ARCATA, CA
95521-5789
Practice Phone: 303-989-8169
Practice Fax:
1205335981 — CAMILLE HOLDERMAN
Practice Location Address:
901 O ST STE C
ARCATA, CA
95521-5789
Practice Phone: 707-826-0872
Practice Fax:
1144723230 — SANTIAGO FLORES
Practice Location Address:
901 O ST STE C
ARCATA, CA
95521-5789
Practice Phone: 707-826-0872
Practice Fax:

Directions to “ EDWARD MITCHELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.