Individual
CHEYENNE PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21008 91ST ST E, BONNEY LAKE, WA 98391-8494
(253) 314-3015
Mailing address
21008 91ST ST E, BONNEY LAKE, WA 98391
(253) 314-3015
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
WA
Other
Enumeration date
04/19/2017
Last updated
04/20/2017
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