IndividualActive
Larae Mitchell
NPI 1003447145 · Behavior Technician · Taylorsville, UT
Provider details
- NPI number
- 1003447145
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone: (801) 255-5131
Approximate (ZIP-level) locationGet directions
Mailing address
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2020-01-28
- Certified
- 2020-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.