MEDICARE: ANDREA MITCHELL 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
1	106S00000X	Behavior Technician
2	106S00000X	Behavior Technician	16-22927	CO

General Provider Information

NPI Number	:	1902350200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MITCHELL RBT

Provider Business Mailing Address
First Line	:	4302 N WEBER ST APT D
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4357
Country	:	US
Telephone Number	:	719-359-1688
Fax Number	:

Provider Business Practice Location Address
First Line	:	4302 N WEBER ST APT D
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4357
Country	:	US
Telephone Number	:	719-359-1688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2016
Last Update Date	:	02/13/2018

Similar Medicare Providers

1285787960 — CAROL SCHREUDER PH.D.
Practice Location Address:

8 BROADMOOR HILLS DR
COLORADO SPRINGS, CO
80906-4357

Practice Phone: 719-527-8776
Practice Fax:

1174775357 — PATRICIA BLOSS D.D.S.
Practice Location Address:

20 BROADMOOR HILLS DR
COLORADO SPRINGS, CO
80906-4357

Practice Phone: 719-576-8864
Practice Fax:

1154316917 — MRS. REBECCA ANN DRNAS RPH
Practice Location Address:

1016 LARAMIE ST
ROCK SPRINGS, WY
82901-4357

Practice Phone: 307-362-2716
Practice Fax: 307-362-1380

1053753673 — H&H TAXI, LLC
Practice Location Address:

539 MAIN ST
RUSSELL SPRINGS, KY
42642-4357

Practice Phone: 270-866-3456
Practice Fax:

1629900980 — MIA GRACE NEADERHISER
Practice Location Address:

1625 MEDICAL CENTER PT STE 180
COLORADO SPRINGS, CO
80907-5798

Practice Phone: 719-344-9497
Practice Fax:

1609400407 — PURE HEALTHCARE OF COLORADO LLC
Practice Location Address:

320 E FONTANERO ST STE 103
COLORADO SPRINGS, CO
80907-7535

Practice Phone: 855-550-3358
Practice Fax:

Directions to “ ANDREA MITCHELL RBT” 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.