Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY MIXON, M.S. BCBA
Active Sole ProprietorMR. JERRY MIXON, M.S. BCBA is a Behavior Analyst healthcare provider located in COTTONWOOD, Alabama. NPI 1386048767 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · COTTONWOOD, AL
Registration Details
- NPI Number
- 1386048767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2014 (11.792006054265 yrs)
- Last Updated
- Oct 14, 2014
- License
-
1-02-0822 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 BJ MIXON RDCOTTONWOOD, AL, 363205012Browse AL providers · Browse ZIP 36320
- Phone
- 3346184963
- Primary Specialty
-
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.