Individual
CHEYENNE DAWN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CHERI WHITLOCK DR, SILOAM SPRINGS, AR 72761-9100
(479) 524-2456
Mailing address
21733 TROON LN, SILOAM SPRINGS, AR 72761-9612
(479) 427-2474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181208
AR
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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