NPI 1508633298
Michael Mizell, MED
Practice location
- Address
- 1320 E Highland Ave APT 48, Phoenix, AZ 85014-3736
- Phone
- (623) 387-3151
- Mailing address
- 7108 S Kanner Hwy, Stuart, FL 34997-7462
Registered specialties
Assistant Behavior Analyst
Primary
Registry record
- NPI
- 1508633298
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Dec 2023
- Record last updated
- 4 Dec 2023
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.