Most Relevant Information
Provider Data
| NPI Number: | 1003541517 |
| Provider Name: | TRAVIA L MITCHELL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2022 |
| Last Updated: | 12/28/2022 |
Provider Practice Location
3339 DUKE ST
ALEXANDRIA
VA
223145219
Practice Location Phone/Fax
| Phone: | 7038703880 |
| Fax: |
Provider Mailing Location
3339 DUKE ST
ALEXANDRIA
VA
223145219
Provider Mailing Phone/Fax
| Phone: | 0387038807 |
| Fax: |