Individual
CHEYENNE BECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 521-0890
Mailing address
1211 OHIO AVE, BREMERTON, WA 98337-1336
(509) 464-9223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-76894
WA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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