Sierra Mitchell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1099630 Issued in NC

Practice address

351 Wagoner Dr Ste 325
Fayetteville, NC 28303-4674

Phone

(910) 491-0061

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1215797360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SAWTOOTH DR APT 18",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144513",
            "telephone_number": "252-646-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 325",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034674",
            "telephone_number": "910-491-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "BACB1099630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Mitchell
• Mica Mitchell, PT
• Samone Mitchell
• Shandra Smith Mitchell, RN
• Sharon Sonia Mitchell, MD
• William Douglas Mitchell, RPH
• James Mitchem, LMFT
• Heniranne Hope Mixon, MSW, LCSW-A
• Marcus Anthony Mize, PHARMD
• ML Allen Trucking LLC

• Behavior Technician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.