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NPI Code Detail

MEDICARE: LAILA MITCHELL

MEDICARE: LAILA 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 : 1215888292
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAILA MITCHELL
Provider Business Mailing Address
First Line : 900 W BROADWAY ST
Second Line :
City : NEWTON
State : KS
Zip : 67114-2004
Country : US
Telephone Number : 316-202-7468
Fax Number : 316-529-9351
Provider Business Practice Location Address
First Line : 2024 N WOODLAWN ST
Second Line :
City : WICHITA
State : KS
Zip : 67208-1851
Country : US
Telephone Number : 316-202-7468
Fax Number : 316-529-9351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ LAILA MITCHELL ” Practice Location

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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.

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