MITCHELL'S PLACE INC. NPI 1235263419

NPI Information

  • NPI: 1235263419
  • Provider Name: MITCHELL'S PLACE, INC.
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Doing Business As: MITCHELL'S PLACE - SOUTH SIDE
  • Address: 4778 OVERTON ROAD
    BIRMINGHAM, AL
    ZIP 35210
  • Phone: (205) 957-0294

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NPI Details

MITCHELL'S PLACE, INC. is a behavior analyst in Birmingham, AL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. MITCHELL'S PLACE, INC. NPI is 1235263419. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mitchell's Place - South Side.

The provider's business location address is:

4778 OVERTON ROAD
BIRMINGHAM, AL
ZIP 35210
Phone: (205) 957-0294
Fax: (205) 957-0298

The provider's authorized official is Darrell W Fitzgerald .
The authorized official title is Billing Director and has the following contact phone number (205) 957-0294.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 5/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes
2103TC0700XPsychologistClinicalNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
4225X00000XOccupational TherapistNo
5225XF0002XOccupational TherapistFeeding, Eating & SwallowingNo
6235Z00000XSpeech-Language PathologistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1247019MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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