Mitchel C Alex

Individual provider Active NPI Behavior Technician · Johns Creek, GA

NPI 1114656261 · NPPES record last updated Jun 10, 2022

Key facts

NPI
1114656261
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7360 McGinnis Ferry Rd Ste 100
Johns Creek, GA 30024-6603
Phone
(866) 523-4267
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
Yes

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

7360 McGinnis Ferry Rd Ste 100
Johns Creek, GA 30024-6603

Mailing address

7360 McGinnis Ferry Rd
Johns Creek, GA 30024-6603

Other providers in Johns Creek, GA

All providers in Johns Creek, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.