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NPI Code Detail

MEDICARE: LAURA MITCHELL MS, RBT

MEDICARE:   LAURA  MITCHELL  MS, RBT
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
1171M00000XCase Manager/Care Coordinator
2222Q00000XDevelopmental Therapist
3106S00000XBehavior TechnicianRBT-23-316335FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407119514
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MITCHELL MS, RBT
Provider Business Mailing Address
First Line : 5100 TALLOW WOOD CT
Second Line :
City : ORLANDO
State : FL
Zip : 32808-1743
Country : US
Telephone Number : 407-883-4951
Fax Number :
Provider Business Practice Location Address
First Line : 7948 FOREST CITY RD
Second Line :
City : ORLANDO
State : FL
Zip : 32810-2907
Country : US
Telephone Number : 689-208-2208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2012
Last Update Date : 03/20/2024

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Directions to “ LAURA MITCHELL MS, RBT” Practice Location

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