Individual
HEAVEN HALEY VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(307) 221-2907
(307) 316-0303
Mailing address
3120 OLD FAITHFUL RD STE 1003120, CHEYENNE, WY 82001-5865
(307) 221-2907
(307) 316-0303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WY
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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