NPI 1003034901

Shannon J Mitchell

Practitioner Behavior Analyst Lake St Louis, MO

Practice location

Address: 10 Chartres CT, Lake St Louis, MO 63367-1230
Phone: (618) 322-8746

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 2014000839 (MO)

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Registry record

NPI: 1003034901
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2007
Record last updated: 16 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.