Individual
CHEYENNE KATHRYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(208) 380-4743
Mailing address
13933 N HAWTHORNE RD, POCATELLO, ID 83202-5171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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