Mixon, Milton Bret
Mixon, Milton Bret is an individual health care provider with primary practice located at 321 Rood Ave Ste 200 , Grand Junction CO 81501-2441. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is his primary health care specialty. Mixon, Milton Bret can be contacted via phone (970) 245-7682.Contact Information
Primary practice address
321 Rood Ave Ste 200
Grand Junction CO 81501-2441
Phone: (970) 245-7682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1073715348 |
|---|---|
| LBN Legal business name | Mixon, Milton Bret |
| Credentials | BCBA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Sep 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073715348 | NPPES |
| Colorado | Other | SLP.0001198 | STATE LICENSE |
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