Mitchshiiunnah Allen

Individual provider Active NPI Behavior Technician · Scottsdale, AZ

NPI 1083383608 · NPPES record last updated Sep 8, 2021

Key facts

NPI
1083383608
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8130 E Cactus Rd
Suite 510
Scottsdale, AZ 85260-5263
Phone
(303) 989-8169
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8130 E Cactus Rd
Suite 510
Scottsdale, AZ 85260-5263

Mailing address

8130 E Cactus Rd
Suite 510
Scottsdale, AZ 85260-5263

Other providers in Scottsdale, AZ

All providers in Scottsdale, AZ · Behavior Technician in Arizona

Sources for this page

Verify at the official NPI Registry.