Mitchell, Kenneth

Mitchell, Kenneth is an sole proprietor health care provider with primary practice located at 1174 Wisconsin St , Pomona CA 91768-3033. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Mitchell, Kenneth can be contacted via phone (909) 538-2673.

Contact Information

Primary practice address
1174 Wisconsin St Pomona CA 91768-3033
Phone: (909) 538-2673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-10163 California
Behavioral Health & Social Service Providers / School 103TS0200X LEP3554 California

Profile Details

NPI number 1841677507
LBN Legal business name Mitchell, Kenneth
Credentials L.E.P., B.C.B.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2015
Last updated May 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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