NPI 1801586359 · live from the CMS NPI Registry
Johanna Mitchell, BCBA
Behavior Analyst in Portland, ME. National Provider Identifier 1801586359, active.
NPI record
| NPI | 1801586359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1250 Forest Ave, Portland, ME 04103 |
| Practice phone | 207-797-8255 |
| Enumerated | May 9, 2023 |
| Last updated | May 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-23-65620 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.