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NPI Code Detail

MEDICARE: ASHLIE N MITCHELL

MEDICARE: ASHLIE N 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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

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 : 1972187128
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLIE N MITCHELL
Provider Business Mailing Address
First Line : 4740 LOBLOLLY WAY
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-1239
Country : US
Telephone Number : 540-845-7825
Fax Number :
Provider Business Practice Location Address
First Line : 2924 KINGS RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2016
Country : US
Telephone Number : 850-348-1057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2021
Last Update Date : 10/20/2024

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Directions to “ ASHLIE N 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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