Lillian Abagail Mitchell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065

Phone

(800) 920-1927

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1740997063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 KINDLY RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034257",
            "telephone_number": "239-284-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 416",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073065",
            "telephone_number": "800-920-1927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 Kindly Rd",
            "address_purpose": "LOCATION",
            "city": "North Fort Myers",
            "state": "FL",
            "postal_code": "339034257",
            "country_code": "US",
            "telephone_number": "239-284-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LILLIAN",
        "middle_name": "ABAGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15757922",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James A Mitchell, D.D.S.
• Jessica Caroline Mitchell, MH25099
• Joseph Paul Mitchell, D.D.S.
• Justin Lee Mitchell, MD
• Kelly Mitchell, LCSW
• Yolanda Frenero Mitchell, DDS
• Mitchell& Mitchell, DDS, PA
• Erica Mitchinson
• Darren Miter, D.O.
• Carol A Mitnick, ARNP

• Behavior Technician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.