Individual
CHEYENNE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 PETRONELLI WAY APT 506, BROCKTON, MA 02301-4464
(401) 318-8545
Mailing address
45 PETRONELLI WAY APT 506, BROCKTON, MA 02301-4464
(401) 318-8545
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MA
Other
Enumeration date
12/06/2025
Last updated
12/06/2025
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