Mitchelle, Riley Wayne
Mitchelle, Riley Wayne is an sole proprietor health care provider with primary practice located at 1109 Fayetteville Rd , Van Buren AR 72956-3363. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Mitchelle, Riley Wayne can be contacted via phone (479) 474-6444.Contact Information
Primary practice address
1109 Fayetteville Rd
Van Buren AR 72956-3363
Phone: (479) 474-6444
Fax: (479) 474-6446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1821765157 |
|---|---|
| LBN Legal business name | Mitchelle, Riley Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2021 |
| Last updated | Aug 25th, 2021 - 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.
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