Individual
CHEYENNE HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 N PECOS RD STE C, HENDERSON, NV 89074-7344
(702) 778-4500
(702) 832-0244
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-33257
NV
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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