Individual
CHEYANNE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Mailing address
110 BIRCHWOOD DR, LEBANON, IN 46052-2707
(765) 481-2260
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-262837
IN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
07/03/2026
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