Provider Demographics
NPI:1407156201
Name:MITCHELL, RHONDA J (BS)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:J
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NW 142ND ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1962
Mailing Address - Country:US
Mailing Address - Phone:405-752-2414
Mailing Address - Fax:
Practice Address - Street 1:825 NW 142ND ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1962
Practice Address - Country:US
Practice Address - Phone:405-752-2414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst