Eller Mitchell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

444 2ND Loop Rd
Florence, SC 29505-2814

Phone

(843) 536-9674

NPI assigned

Apr 11, 2018

Last updated

Jan 23, 2020By 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 2

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1881191302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 LIN DO CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501832",
            "telephone_number": "803-905-4427",
            "fax_number": "803-905-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052814",
            "telephone_number": "843-536-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ELLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "17-33520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katina Mintz
• Roberto Antonio Miranda Santiago, M.D.
• Mitchell Investments of SC
• Benjamin C. Mitchell
• Carolyn A Mitchell
• Kathleen Mitchell
• Mary D Mitchell, FNP
• Melissa Mae Mitchell, CRNA
• Ryan L Mitchell, DC
• Sharon Szukala Mitchell, MD

• Behavior Analyst in Florence, SC
• Providers in Florence, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.