Individual
CHEYENNE ROSE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5932 SANDY FORKS RD # 101, RALEIGH, NC 27609-3814
(984) 275-3054
Mailing address
3431 BRADLEY PL, RALEIGH, NC 27607-6801
(828) 380-9344
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/03/2022
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